Active NPI 1164757514 Individual Practitioner Male Practitioner

Dr. Alexander James Cusmano , MD

Internal Medicine • Troy, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Cusmano, MD is a certified Internal Medicine practicing in Troy, MI. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Cusmano delivers high-quality medical care to the local community at 500 KIRTS BLVD STE 100.

Dr. Cusmano is affiliated with Vpa Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with low level of medical decision making, per day, if using time, at least, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Kirts Blvd Ste 100

Troy, MI 480844135

Telephone 2482664200

Associated Practice Facility / Clinic

🏢 Vpa Pc Facility NPI 1902406861

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Troy, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -12.2 yrs vs City Avg

City Avg: 29.2 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

122 Specialists

Practicing in Troy, MI (6010 Statewide)

Telehealth Adoption Rate

37.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

32.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cusmano (17 Years) 17 Yrs

Troy Specialty Average (29.2 Years) 29.2 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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	317	155	$191.00	$126.90
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	243	133	$115.00	$76.10
G0008 Administration of influenza virus vaccine	57	57	$35.00	$32.65
90661 Influenza vaccine, trivalent derived from cell cultures	49	49	$55.00	$36.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$196.00	$128.72
99497 Advance care planning, first 30 minutes	46	46	$124.00	$82.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	40	$80.00	$53.13
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	20	$62.00	$41.59
99344 New patient home visit, typically 1 hour	24	24	$213.00	$140.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	51	44	$192.00	$122.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	26	$103.58	$57.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$216.09	$126.03
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	22	22	$114.00	$73.29
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$138.08	$86.13
99497 Advance care planning, first 30 minutes	14	14	$124.00	$79.25
99344 New patient home visit, typically 1 hour	13	13	$216.00	$138.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$78.00	$49.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	49	$104.94	$58.60
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$137.54	$75.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$242.66	$134.74
83036 Hemoglobin A1C level	11	11	$21.44	$9.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	666	80	$218.83	$68.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	514	127	$217.58	$69.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	340	117	$285.15	$90.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	312	72	$286.24	$90.01
99306 Initial nursing facility visit, typically 45 minutes per day	176	143	$520.51	$165.96
99497 Advance care planning, first 30 minutes	130	101	$321.63	$78.45
99336 Established patient assisted living visit, typically 40 minutes	44	17	$423.98	$138.51
99335 Established patient assisted living visit, typically 25 minutes	43	20	$298.28	$97.68
99306 Initial nursing facility visit, typically 45 minutes per day	43	28	$523.53	$165.38
99316 Nursing facility discharge management, more than 30 minutes	32	32	$331.00	$106.65
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	17	13	$423.41	$133.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	16	12	$419.94	$132.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	843	113	$208.65	$69.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	607	138	$208.44	$69.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	565	152	$273.01	$91.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	525	111	$273.29	$91.55
99306 Initial nursing facility visit, typically 45 minutes per day	181	146	$498.66	$169.03
99497 Advance care planning, first 30 minutes	101	82	$308.80	$80.00
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	91	51	$404.13	$135.14
99336 Established patient assisted living visit, typically 40 minutes	58	18	$402.66	$139.25
99335 Established patient assisted living visit, typically 25 minutes	46	18	$285.91	$98.74
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	42	35	$404.57	$133.87
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	37	31	$132.89	$43.95
99306 Initial nursing facility visit, typically 45 minutes per day	36	28	$499.00	$169.95
99316 Nursing facility discharge management, more than 30 minutes	31	28	$319.65	$108.44
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	25	20	$133.24	$44.40
99318 Nursing facility annual assessment, typically 30 minutes	23	23	$286.09	$95.98

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	650	164	$260.90	$92.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	642	158	$198.50	$69.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	627	107	$199.06	$68.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	465	100	$262.08	$91.33
99306 Initial nursing facility visit, typically 45 minutes per day	186	151	$473.38	$169.41
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	76	46	$126.74	$44.04
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	71	51	$125.93	$43.93
99336 Established patient assisted living visit, typically 40 minutes	45	18	$387.51	$140.80
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	30	30	$368.00	$131.81
99306 Initial nursing facility visit, typically 45 minutes per day	30	23	$478.87	$167.29
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	26	21	$392.35	$138.03
99316 Nursing facility discharge management, more than 30 minutes	26	25	$303.23	$109.14
99335 Established patient assisted living visit, typically 25 minutes	22	13	$272.09	$98.55
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	22	18	$392.55	$136.61
99497 Advance care planning, first 30 minutes	11	11	$293.91	$80.43

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	470	110	$245.60	$90.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	455	114	$187.24	$68.03
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	390	141	$246.83	$89.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	299	122	$188.48	$67.84
99306 Initial nursing facility visit, typically 45 minutes per day	140	123	$445.97	$164.99
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	46	27	$123.43	$43.59
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	36	24	$124.67	$43.37
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	27	23	$359.67	$134.98
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	21	$359.57	$127.71
99306 Initial nursing facility visit, typically 45 minutes per day	20	18	$446.60	$165.96
99497 Advance care planning, first 30 minutes	17	17	$271.00	$79.91
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	17	14	$361.12	$134.50
99316 Nursing facility discharge management, more than 30 minutes	14	14	$283.00	$106.72

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	942	166	$235.80	$88.61
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	703	158	$179.26	$67.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	464	195	$235.65	$88.54
99306 Initial nursing facility visit, typically 45 minutes per day	250	205	$429.42	$161.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	213	134	$179.35	$66.93
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	80	63	$352.41	$131.63
99497 Advance care planning, first 30 minutes	77	65	$266.10	$75.00
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	76	50	$351.62	$131.85
99336 Established patient assisted living visit, typically 40 minutes	52	17	$344.56	$135.20
99306 Initial nursing facility visit, typically 45 minutes per day	51	42	$427.65	$162.75
99316 Nursing facility discharge management, more than 30 minutes	41	40	$272.39	$103.50
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	31	25	$118.23	$42.97
99335 Established patient assisted living visit, typically 25 minutes	25	15	$243.84	$95.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	23	$333.87	$127.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$333.71	$126.54

Medical Specialties & State Licenses

CMS Verified: 2024-02-02

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 57-016039

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

Vpa Pc

None, Okemos, MI 48864

Phone: 5173474085

Secondary Practice Locations

36123 Schoolcraft Rd

Livonia, MI 481501216

Phone: 7344640887

2205 Jolly Rd Ste B

Okemos, MI 488643983

Phone: 2484346169

Practice Associates & Co-Workers

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

7 Associated Practitioners

Jennifer Edgar , APRN, BC

Nurse Practitioner - Gerontology

NPI 1013107366

Advanced Practice Registered Nurse, BC

Patricia Summers , MSN, AGPCNP-BC, APRN

Nurse Practitioner - Gerontology

NPI 1093583833

Master of Science in Nursing, AGPCNPBC, Advanced Practice Registered Nurse

Elena Parhomchuk

Nurse Practitioner - Family

NPI 1366092264

Dr. Nik Gjurashaj , MD

Family Medicine

NPI 1366705949

Doctor of Medicine (M.D.)

Shamir Bergeron , APRN

Nurse Practitioner - Family

NPI 1609441609

Advanced Practice Registered Nurse

Aisha Wagner , NP

Nurse Practitioner - Adult Health

NPI 1871077404

Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location February 02, 2024

Registered at 500 KIRTS BLVD STE 100, TROY, MI 480844135 (Tel: 2482664200)

📍

Updated Practice Location September 11, 2023

Registered at 2205 JOLLY RD STE B, OKEMOS, MI 488643983 (Tel: 2484346169)

📍

Updated Business Mailing Address September 11, 2023

Registered at PO BOX 639295 DEPT 93394, CINCINNATI, OH 452639295 (Tel: 2484346169)

📍

Updated Practice Location December 06, 2021

Registered at 1142 E 9 MILE RD, HAZEL PARK, MI 480301901 (Tel: 2488174742)

📍

Updated Business Mailing Address December 06, 2021

Registered at PO BOX 746723, ATLANTA, GA 303746723 (Tel: 3127339730)

✅

NPI Profile Active April 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2017

Registered at 36123 SCHOOLCRAFT RD, LIVONIA, MI 481501216 (Tel: 7344640887)

📍

Updated Business Mailing Address April 14, 2017

Registered at 36123 SCHOOLCRAFT RD, LIVONIA, MI 481501216 (Tel: 7344640887)

👤

Provider Name / Credentials Updated April 14, 2017

Recorded as ALEXANDER CUSMANO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2017

Internal Medicine (License #57-016039 in OH)

✅

NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 24, 2015

Registered at 90 JEAN ST, YALE, MI 480972932 (Tel: 7344640887)

📍

Updated Business Mailing Address July 24, 2015

Registered at 36123 SCHOOLCRAFT RD, LIVONIA, MI 481501216 (Tel: 7344640887)

👤

Provider Name / Credentials Updated July 24, 2015

Recorded as ALEXANDER CUSMANO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2015

Internal Medicine (License #57-016039 in OH)

🟢

Initial NPI Registration & Enumeration October 02, 2009

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: 1164757514

Entity Type:

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

Enumeration Date: October 02, 2009

Last Update: February 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 639295 Dept 93394

Cincinnati, OH 452639295

Phone: 2484346169

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.