PETER JOHN MUSTILLO (MD) – Pediatric Allergy/Immunology Physician, NPI 1730173758

PETER JOHN MUSTILLO (MD) is a healthcare provider. based in Columbus, Ohio. specializing in Pediatric Allergy/Immunology Physician. They hold the professional credentials MD. They hold a License No. 35073238 (OH). The NPI Number for PETER JOHN MUSTILLO (MD) is 1730173758

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
PETER JOHN MUSTILLO (MD)
NPI
1730173758
Phone
(614) 722-5500
Address
700 CHILDRENS DR
Enumeration Date
6 September 2005
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9376441441
Graduation Year
1996 (30 years ago)
PAC ID
3870680200
Group Practice PAC ID
2769383785
Professional Enrollment ID
I20071101000593
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for PETER JOHN MUSTILLO (MD)

  • 700 CHILDRENS DR

    COLUMBUS, OH 432052664

    Phone: (614) 722-5500

    Fax: (614) 722-4458

    Type: Location

  • 433 N Cleveland Ave

    Westerville, OH 430828095

    Phone: (614) 722-6200

    Type: Location

  • 7853 Pacer Dr

    Delaware, OH 430157571

    Phone: (614) 722-6200

    Type: Location

  • 4363 All Seasons Dr

    Hilliard, OH 430262050

    Phone: (614) 722-6200

    Type: Location

  • 555 S 18TH ST

    COLUMBUS, OH 432052654

    Phone: (614) 722-6200

    Type: Location

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 $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Amgen Inc. ($55).

Total Amount

$55

General + Research + Ownership

Payments

1

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$55
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: 2007-11-01

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
I20071101000593IInternal MedicineOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43205)

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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: 2769383785View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineOH
Endocrinology, Internal MedicineOH
-OH
Internal MedicineOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH

Reviews

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Frequently asked questions

Can I verify PETER JOHN MUSTILLO (MD) with an NPI only?
You can start verification with NPI 1730173758 for PETER JOHN MUSTILLO (MD), then check state licensing separately.
Is PETER JOHN MUSTILLO (MD) listed as active for patients and plans?
The listing shows PETER JOHN MUSTILLO (MD) as active in the NPI system.
What taxonomy line describes PETER JOHN MUSTILLO (MD)?
For research purposes, treat PETER JOHN MUSTILLO (MD) as Pediatric Allergy/Immunology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect PETER JOHN MUSTILLO (MD) on a map?
Expect Columbus, Ohio as a primary anchor for PETER JOHN MUSTILLO (MD) unless the record lists multiple sites.
Is the information about PETER JOHN MUSTILLO (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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