DR. MARK A MUSCATO (MD) – Diagnostic Radiology Physician, NPI 1902852916

DR. MARK A MUSCATO (MD) is a healthcare provider. based in Decatur, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 33675225 (IL). The NPI Number for DR. MARK A MUSCATO (MD) is 1902852916

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK A MUSCATO (MD)
NPI
1902852916
Phone
(217) 876-2300
Address
2300 N EDWARD ST
Enumeration Date
25 May 2006
Last Update Date
5 December 2007

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2178765369
Graduation Year
1999 (27 years ago)
PAC ID
6002885589
Group Practice PAC ID
6800275900
Professional Enrollment ID
I20050825000843
Address ID
IL625359800FO389XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,123 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for DR. MARK A MUSCATO (MD)

  • Decatur Memorial Hospital, 2300, North Edward Street, Old King's Orchard, Decatur, Macon County, Illinois, 62526, United States

    DECATUR, IL 625264163

    Phone: (217) 876-2300

    Fax: (217) 876-6725

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050825000843IDiagnostic RadiologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view838650$0
74177Ct scan of abdomen and pelvis with contrast666574$0
71260Ct scan of chest with contrast443365$0
78815Nuclear medicine study from skull base to mid-thigh with ct scan401358$0
70450Ct scan head or brain without contrast398369$0
View full utilization report →

Insurance plans in this area (ZIP 62526)

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Provider's Procedures

DR. MARK A MUSCATO (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front996773
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views1716
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views8577
DIAGNOSTIC RADIOLOGYIL76872Ultrasound of rectum4140
DIAGNOSTIC RADIOLOGYIL78815Nuclear medicine study with CT imaging skull base to mid-thigh367327

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800275900View full group profile
NameSpecialtyState
Diagnostic RadiologyIL
Diagnostic RadiologyIL
Diagnostic RadiologyMO
Interventional Radiology, Diagnostic RadiologyIL
Diagnostic RadiologyIL
Diagnostic RadiologyIL

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Frequently asked questions

Does DR. MARK A MUSCATO (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK A MUSCATO (MD) uses 1902852916.
Is DR. MARK A MUSCATO (MD) still practicing?
DR. MARK A MUSCATO (MD) is currently listed as active in the public NPI registry.
What is DR. MARK A MUSCATO (MD)'s specialty?
The listing groups DR. MARK A MUSCATO (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK A MUSCATO (MD) on a map?
Expect Decatur, Illinois as a primary anchor for DR. MARK A MUSCATO (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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