ANDREW MUTISO (MD) – Emergency Medicine Physician, NPI 1699750059
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 EMERGENCY MEDICINE in KY
Provider Addresses for ANDREW MUTISO (MD)
390, Clay Pitts Road, Huntington, Suffolk County, New York, 11731, United States
HUNTINGTON, WV 25708
Phone: (304) 429-1088
Fax: (304) 429-3109
Type: Mailing
5000 KY RTE 321
PRESTONSBURG, KY 41653
Phone: (606) 886-7733
Fax: (606) 886-7400
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 $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $18 |
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: 2004-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040520000070 | I | Emergency Medicine | KY | 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 | 219 | 193 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 127 | 118 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 60 | 59 | $0 |
| 99291 | Critical care, first 30-74 minutes | 48 | 48 | $0 |
Insurance plans in this area (ZIP 25708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | KY | |
| Emergency Medicine | OH | |
| Internal Medicine, Emergency Medicine | WV | |
| Nurse Practitioner | KY | |
| Physician Assistant | LA | |
| Nurse Practitioner | KY | |
| Internal Medicine, Emergency Medicine | KY | |
| Emergency Medicine | KY | |
| Emergency Medicine | IL | |
| Nurse Practitioner | OH |
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