Active NPI 1710971510 Individual Practitioner Female Practitioner

Roxanne F Musto , NP

Nurse Practitioner • Milton, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Roxanne Musto, NP is a certified Nurse Practitioner practicing in Milton, MA. With approximately 26 years of clinical experience since completing medical education in 2000, Roxanne Musto delivers high-quality medical care to the local community at 92 HIGHLAND ST.

Roxanne Musto is affiliated with Medical Care Of Boston Management Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, nursing facility discharge management, more than, subsequent nursing facility care with high level of medical decision making, per day, 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

92 Highland St

Milton, MA 021863800

Telephone 6176964600

Fax 6176967699

Associated Practice Facility / Clinic

🏢 Community Physicians Associates, Inc. Facility NPI 1538154869

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Milton, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +3.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Milton, MA (3545 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Musto (26 Years) 26 Yrs

Milton Specialty Average (22.8 Years) 22.8 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	422	75	$328.74	$97.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	341	54	$328.46	$97.35
99316 Nursing facility discharge management, more than 30 minutes	44	39	$405.39	$117.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	37	15	$488.00	$138.87
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	24	21	$487.29	$138.87
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	22	12	$395.86	$114.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	577	144	$297.64	$97.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	324	97	$298.91	$97.78
99316 Nursing facility discharge management, more than 30 minutes	57	52	$267.91	$119.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	17	$220.75	$68.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	15	$220.56	$68.31
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	11	$410.00	$121.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	338	80	$290.00	$83.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	321	121	$290.00	$83.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	251	76	$220.00	$63.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	222	92	$220.00	$63.70
99316 Nursing facility discharge management, more than 30 minutes	76	71	$249.00	$95.14
99335 Established patient assisted living visit, typically 25 minutes	15	12	$300.00	$87.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	522	160	$290.00	$84.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	305	79	$290.00	$84.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	289	112	$220.00	$64.39
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	244	78	$220.00	$64.39
99316 Nursing facility discharge management, more than 30 minutes	111	106	$249.00	$97.33
99335 Established patient assisted living visit, typically 25 minutes	24	13	$300.00	$88.83
99336 Established patient assisted living visit, typically 40 minutes	20	14	$375.00	$125.60
99497 Advance care planning, first 30 minutes	16	14	$180.00	$72.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	379	134	$290.00	$85.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	272	60	$290.00	$85.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	223	68	$220.00	$65.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	171	86	$220.00	$64.96
99316 Nursing facility discharge management, more than 30 minutes	93	87	$249.00	$98.31
99336 Established patient assisted living visit, typically 40 minutes	40	15	$375.00	$126.34
99335 Established patient assisted living visit, typically 25 minutes	22	11	$300.00	$89.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$320.00	$103.24
99497 Advance care planning, first 30 minutes	17	16	$180.00	$79.90
36415 Insertion of needle into vein for collection of blood sample	17	16	$15.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$306.00	$108.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	491	149	$290.00	$84.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	241	63	$290.00	$84.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	229	66	$220.00	$63.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	227	105	$220.00	$63.58
99316 Nursing facility discharge management, more than 30 minutes	114	102	$249.00	$97.14
36415 Insertion of needle into vein for collection of blood sample	81	67	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	58	$320.00	$102.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	64	64	$306.00	$109.16
99335 Established patient assisted living visit, typically 25 minutes	37	14	$300.00	$87.52
99336 Established patient assisted living visit, typically 40 minutes	17	11	$375.00	$124.60
99497 Advance care planning, first 30 minutes	16	16	$180.00	$78.26
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	13	$400.00	$124.85
G0444 Annual depression screening, 5 to 15 minutes	13	13	$53.00	$17.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	315	120	$290.00	$84.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	216	68	$290.00	$84.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	190	59	$220.00	$64.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	179	80	$220.00	$64.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	79	$320.00	$101.11
99316 Nursing facility discharge management, more than 30 minutes	81	71	$249.00	$97.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$306.00	$110.10
36415 Insertion of needle into vein for collection of blood sample	56	50	$15.00	$2.94
99335 Established patient assisted living visit, typically 25 minutes	51	28	$241.18	$89.04
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	51	17	$150.00	$128.16
99336 Established patient assisted living visit, typically 40 minutes	30	19	$270.00	$129.67
G0008 Administration of influenza virus vaccine	16	16	$79.00	$23.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$35.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	293	84	$290.00	$81.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	193	43	$290.00	$81.34
99335 Established patient assisted living visit, typically 25 minutes	181	39	$175.41	$85.19
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	178	27	$150.00	$115.85
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	170	49	$220.00	$61.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	157	61	$220.00	$61.42
99336 Established patient assisted living visit, typically 40 minutes	124	35	$191.73	$121.17
99316 Nursing facility discharge management, more than 30 minutes	55	51	$249.00	$93.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	43	$320.00	$97.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$269.14	$105.13
36415 Insertion of needle into vein for collection of blood sample	24	24	$15.00	$2.94
G0444 Annual depression screening, 5 to 15 minutes	22	22	$53.00	$16.62
99344 New patient home visit, typically 1 hour	12	12	$250.00	$164.65

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 187372

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0391140 (MA)

Hospital & Practice Group Affiliations

Medical Care Of Boston Management Corporation

93 Pond St, Sharon, MA 020672015

Phone: 7817849212

Practice Associates & Co-Workers

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

34 Associated Practitioners

Christopher Gibson , PA-C

Physician Assistant - Surgical

NPI 1023480324

Physician Assistant (Certified)

Melissa Ganz , RD

Dietitian, Registered

NPI 1063122471

Registered Dietitian

Dr. Tahnee Sidhu , MD

Internal Medicine - Gastroenterology

NPI 1114448149

Doctor of Medicine (M.D.)

Dr. Harold Longmaid , MD

Radiology - Diagnostic Radiology

NPI 1124015615

Doctor of Medicine (M.D.)

Dr. Paul Paganelli , MD

Emergency Medicine

NPI 1194822700

Doctor of Medicine (M.D.)

Dr. Leyla Heris , MD

Hospitalist

NPI 1225521974

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2014

Registered at 92 HIGHLAND ST, MILTON, MA 021863800 (Tel: 6176964600)

📍

Updated Business Mailing Address March 14, 2014

Registered at 92 HIGHLAND ST, MILTON, MA 021863800 (Tel: 6176964600)

👤

Provider Name / Credentials Updated March 14, 2014

Recorded as ROXANNE MUSTO, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2014

Nurse Practitioner (License #187372 in MA)

🟢

Initial NPI Registration & Enumeration September 07, 2005

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: 1710971510

Entity Type:

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

Enumeration Date: September 07, 2005

Last Update: March 14, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

92 Highland St

Milton, MA 021863800

Phone: 6176964600

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.