DR. FRANK A. MUTO M.D.
NPI 1932103579
Radiology - Diagnostic Radiology in Charleston, WV

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1538 KANAWHA BLVD E, CHARLESTON, WV 25311(304) 344-3457(304) 344-3480 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Frank A. Muto M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRANK A. MUTO M.D. (NPI 1932103579) is an individual diagnostic radiology provider in Charleston, West Virginia, licensed in West Virginia (21190) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of West Virginia University School Of Medicine (1998).

NPPES Registry Identity

NPI1932103579
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. FRANK A. MUTOCredential: M.D.
Location Address1538 KANAWHA BLVD ECharleston, WV 25311-2435
Mailing AddressPo Box 11137Charleston, WV 25339-1137 · (304) 344-3457 · Fax (304) 344-3480
Fax(304) 344-3480
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1998
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
NPI 1932103579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WV · 21190
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1538 KANAWHA BLVD E, Charleston, WV 25311

Other Identifiers 13

Other14193WV · Carelink & Carelink Peia
Medicaid2402779OH
Medicaid64063985KY
OtherH82260WV · Brickstreet Insurance
Other0130753WV · Umwa
Other55-0516458WV · Group Fein #
Medicaid550516458WV
Other020011800WV · Federal Black Lung
Other001718808WV · Freedom Blue & Ms Bc Bs
Other550516458WV · Acordia National Peia
Other151237200WV · Us Dol & Us Postal Comp
Medicaid3004087000WV
Medicaid14175WV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Frank A. Muto M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911970090
PECOS Enrollment IDI20040817000582
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 56

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
681 services601 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
236 services233 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
206 services203 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
197 services197 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
132 services129 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
128 services128 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440065
Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,448 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%294 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%75 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Pediatrics
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frank Muto's NPI number?

The NPI number for Frank Muto is 1932103579. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Frank Muto located?

Frank Muto practices at 1538 Kanawha Blvd E, Charleston, WV 25311. The listed phone number is (304) 344-3457.

What is Frank Muto's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Frank Muto enrolled in Medicare?

Yes. Frank Muto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Frank Muto accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Frank Muto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Frank Muto affiliated with any hospitals?

According to CMS data, Frank Muto is affiliated with Pikeville Medical Center, Clark Regional Medical Center, Tristar Northcrest Medical Center, Tristar Centennial Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Frank Muto was last updated on August 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.