Paul Mustacchia, M.D.
NPI 1285693820 · Gastroenterology Physician · East Meadow, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Mustacchia, M.D. is a Gastroenterology Physician provider in East Meadow, NY (NPI 1285693820).
Provider details
- NPI number
- 1285693820
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 204876 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
761 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 323 | $87 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 120 | $146 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 101 | $131 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 67 | $90 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 30 | $74 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-22
- Last updated
- 2014-04-29
Frequently asked questions
- What is Paul Mustacchia's NPI number?
- Paul Mustacchia's National Provider Identifier (NPI) is 1285693820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Mustacchia's specialty?
- Paul Mustacchia is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Mustacchia located?
- Paul Mustacchia's practice location on file with NPPES is 2201 Hempstead Tpke, East Meadow, NY 11554-1859.
- What is Paul Mustacchia's phone number?
- The practice phone number listed in the NPPES registry for Paul Mustacchia is (516) 572-6501.
- Does Paul Mustacchia accept Medicare?
- Paul Mustacchia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Mustacchia's NPI active?
- Yes — Paul Mustacchia's NPI (1285693820) is active in the NPPES registry as of the last update on 2014-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.