Active NPI 1255744934 Individual Practitioner Male Practitioner

Dr. Joseph P Musto , MD

Internal Medicine • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Musto, MD is a certified Internal Medicine practicing in Chicago, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Musto delivers high-quality medical care to the local community at 1653 W CONGRESS PKWY.

Dr. Musto is affiliated with Meriter Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1653 W Congress Pkwy
301 Jones

Chicago, IL 606123833

Telephone 8883527874

Associated Practice Facility / Clinic

🏢 University Pathologists P C Facility NPI 1003890534

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chicago, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -9.8 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

2969 Specialists

Practicing in Chicago, IL (7544 Statewide)

Telehealth Adoption Rate

12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Musto (12 Years) 12 Yrs

Chicago Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	374	150	$281.00	$72.88
99238 Hospital discharge day management, 30 minutes or less	101	98	$327.00	$75.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	87	$725.00	$160.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	42	$423.00	$109.97
99239 Hospital discharge day management, more than 30 minutes	52	52	$447.00	$104.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	395	165	$276.00	$74.26
99238 Hospital discharge day management, 30 minutes or less	77	77	$320.00	$75.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	75	$710.00	$162.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	34	$415.00	$111.70
99239 Hospital discharge day management, more than 30 minutes	50	49	$439.00	$107.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	368	137	$271.03	$66.69
99225 Subsequent observation care, typically 25 minutes per day	60	30	$306.00	$66.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	35	$407.00	$96.39
99220 Hospital observation care, typically 70 minutes	44	42	$667.00	$168.50
99238 Hospital discharge day management, 30 minutes or less	41	41	$313.00	$67.54
99239 Hospital discharge day management, more than 30 minutes	41	40	$431.00	$99.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$696.98	$182.25
99217 Hospital observation care on day of discharge	35	34	$316.03	$67.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	360	143	$266.00	$68.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	36	$399.00	$98.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	52	$683.00	$190.17
99225 Subsequent observation care, typically 25 minutes per day	49	28	$300.00	$64.98
99217 Hospital observation care on day of discharge	46	46	$310.00	$68.60
99238 Hospital discharge day management, 30 minutes or less	44	44	$307.00	$68.60
99239 Hospital discharge day management, more than 30 minutes	41	41	$423.00	$101.17
99220 Hospital observation care, typically 70 minutes	23	23	$654.00	$172.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$467.00	$128.74
99219 Hospital observation care, typically 50 minutes	14	14	$529.00	$127.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	354	148	$261.00	$70.04
99239 Hospital discharge day management, more than 30 minutes	99	96	$415.00	$103.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	41	$391.00	$100.82
99217 Hospital observation care on day of discharge	44	44	$304.00	$70.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$458.00	$132.55
99225 Subsequent observation care, typically 25 minutes per day	28	18	$294.00	$70.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$670.00	$195.60
99219 Hospital observation care, typically 50 minutes	17	17	$519.00	$131.85
99238 Hospital discharge day management, 30 minutes or less	17	17	$301.00	$70.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	343	177	$255.00	$70.57
99239 Hospital discharge day management, more than 30 minutes	129	127	$405.00	$104.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	82	$383.00	$100.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	90	$447.00	$131.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	57	$655.00	$196.18
99219 Hospital observation care, typically 50 minutes	51	51	$509.00	$131.79
99217 Hospital observation care on day of discharge	49	49	$296.00	$70.96
99238 Hospital discharge day management, 30 minutes or less	26	26	$293.00	$70.96
99225 Subsequent observation care, typically 25 minutes per day	23	16	$288.00	$70.91
99220 Hospital observation care, typically 70 minutes	18	18	$628.00	$180.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	398	179	$198.93	$75.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	80	$570.78	$210.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	58	$336.97	$106.97
99239 Hospital discharge day management, more than 30 minutes	76	75	$348.33	$110.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$433.92	$137.88
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	44	44	$47.00	$8.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$367.00	$167.53
99238 Hospital discharge day management, 30 minutes or less	32	32	$205.75	$76.85
81003 Automated urinalysis test	28	28	$25.00	$2.71
99220 Hospital observation care, typically 70 minutes	20	20	$534.00	$192.88
99219 Hospital observation care, typically 50 minutes	19	19	$499.00	$137.25
99217 Hospital observation care on day of discharge	15	15	$276.40	$74.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$221.00	$113.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	250	106	$175.00	$76.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	21	$253.00	$110.86
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	32	32	$47.00	$9.11
81003 Automated urinalysis test	27	27	$25.00	$3.02
99238 Hospital discharge day management, 30 minutes or less	27	27	$187.00	$76.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$367.00	$174.60
99217 Hospital observation care on day of discharge	25	25	$188.00	$77.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$221.00	$112.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$496.00	$215.95
99220 Hospital observation care, typically 70 minutes	14	14	$453.00	$196.99
99225 Subsequent observation care, typically 25 minutes per day	12	11	$176.00	$77.17

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 125-064872

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Meriter Hospital Inc

202 S Park St, Madison, WI 537151507

Phone: 6084176000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Alex James

Student in an Organized Health Care Education/Training Program

NPI 1003751405

Jamie Selfridge , MSOT, OTR, L

Occupational Therapist

NPI 1023483922

MSOT, Occupational Therapist Registered, L

Alexis Giegling , APRN

Nurse Practitioner - Acute Care

NPI 1033959150

Advanced Practice Registered Nurse

James Luttrell

Physical Therapy Assistant

NPI 1043179732

Kathleen Stepanovic

Registered Nurse

NPI 1063220929

Dr. Prathima Kandukuri , DO

Physical Medicine & Rehabilitation

NPI 1083316129

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 10, 2014

Registered at 1653 W CONGRESS PKWY, 301 JONES, CHICAGO, IL 606123833 (Tel: 8883527874)

📍

Updated Business Mailing Address June 10, 2014

Registered at 1653 W CONGRESS PKWY, 301 JONES, CHICAGO, IL 606123833 (Tel: 8883527874)

👤

Provider Name / Credentials Updated June 10, 2014

Recorded as JOSEPH MUSTO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2014

Internal Medicine (License #125-064872 in IL)

🟢

Initial NPI Registration & Enumeration June 10, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255744934

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2014

Last Update: June 10, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1653 W Congress Pkwy, 301 Jones

Chicago, IL 606123833

Phone: 8883527874

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.