MARY V MUSTAIN (MD) – Emergency Medicine Physician, NPI 1235384355
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 EMERGENCY MEDICINE in KY
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Provider Addresses for MARY V MUSTAIN (MD)
1789, Courtney Avenue, Liberty Heights, Lexington, Fayette County, Kentucky, 40505, United States
LEXINGTON, KY 405054046
Phone:
Type: Mailing
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
LEXINGTON, KY 405360001
Phone: (859) 323-5901
Type: Location
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 731208304
Phone: (405) 752-3715
Fax: (405) 936-5058
Type: Mailing
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 $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $13 |
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: 2024-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160120002413 | I | Emergency Medicine | AR | TBD |
| I20240702004274 | I | Emergency Medicine | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 223 | 219 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 137 | 136 | $0 |
| 99291 | Critical care, first 30-74 minutes | 59 | 59 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 46 | 46 | $0 |
Insurance plans in this area (ZIP 40505)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Internal Medicine | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| Family Practice | OK |
Reviews
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