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Muthsous Marcel , NP

Nurse Practitioner โ€ข Hyde Park, MA

Active NPI 1326551904 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1351 Hyde Park Ave
Hyde Park, MA 021362713

Call 6173607960 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1351 Hyde Park Ave

Hyde Park, MA 021362713

Telephone 6173607960
Fax 6173607961
Organization at the Same NPPES Address or Phone
Able Care Health Pc Facility NPI 1801655345

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cambridge, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Cambridge Public Health Commission. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

85 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $9,084 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $5,421 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,691 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$122,802 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Muthsous Marcel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Muthsous Marcel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hyde Park and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: 293. Middle half: 113 to 625.

Too few clinicians listed under Nurse Practitioner in Hyde Park have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $24,187. Middle half: $9,751 to $49,233.

Too few clinicians listed under Nurse Practitioner in Hyde Park have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $18,312. Middle half: $7,110 to $37,062.

Too few clinicians listed under Nurse Practitioner in Hyde Park have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: 330. Middle half: 89 to 1,072.

Too few clinicians listed under Nurse Practitioner in Hyde Park have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: $25,224. Middle half: $1,758 to $161,316.

Too few clinicians listed under Nurse Practitioner in Hyde Park have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Nurse Practitioner with a practice address in Hyde Park, MA (3,483 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
41 29 $353.73 $93.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
40 35 $243.00 $83.74
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
29 25 $166.55 $65.73

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 204 11,868 $2,056.30 53
Omeprazole Omeprazole 112 5,755 $1,598.76 30
Amlodipine Besylate Amlodipine Besylate 111 6,918 $909.56 42
Metformin Hcl Er Metformin Hcl 73 4,670 $1,095.61 22
Losartan Potassium Losartan Potassium 68 4,654 $689.28 25
Lisinopril Lisinopril 67 3,796 $555.46 20
Metoprolol Succinate Metoprolol Succinate 51 2,966 $583.94 15
Valsartan Valsartan 45 2,009 $683.86 โ€”
Metformin Hcl Metformin Hcl 44 2,070 $309.60 13
Levothyroxine Sodium Levothyroxine Sodium 41 2,146 $314.57 โ€”
Trulicity Dulaglutide 36 1,120 $38,318.68 โ€”
Metoprolol Tartrate Metoprolol Tartrate 33 1,142 $220.85 โ€”
Glipizide Er Glipizide 33 1,670 $455.22 โ€”
Famotidine Famotidine 30 1,944 $445.63 17
Albuterol Sulfate Hfa Albuterol Sulfate 30 974 $1,000.30 โ€”
Furosemide Furosemide 29 1,390 $122.85 โ€”
Hydrochlorothiazide Hydrochlorothiazide 29 1,080 $163.15 โ€”
Spironolactone Spironolactone 28 1,314 $214.82 โ€”
Allopurinol Allopurinol 24 754 $96.43 โ€”
Fluticasone Propionate Fluticasone Propionate 24 1,514 $377.19 12
Pravastatin Sodium Pravastatin Sodium 24 1,292 $307.67 โ€”
Eliquis Apixaban 24 998 $19,324.94 โ€”
Gabapentin Gabapentin 23 1,226 $317.96 โ€”
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 22 742 $2,323.74 โ€”
Diclofenac Sodium Diclofenac Sodium 21 640 $1,141.26 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MA RN251799

(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.

Family Medicine - Addiction Medicine

NUCC Taxonomy Code: 207QA0401X

License # reported to NPPES MA RN251799

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20180607002461

Enrollment State Jurisdiction

MA

PECOS Control ID

7416218292

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Cambridge Public Health Commission

1493 Cambridge St, Cambridge, MA 021391047

Phone: 6176651000

Cambridge Public Health Commission

103 Garland St, Everett, MA 021495066

Phone: 6173896270

Secondary Practice Locations

1493 Cambridge St

Cambridge, MA 021391047

Phone: 6176651068

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location August 17, 2024

Registered at 1351 HYDE PARK AVE, HYDE PARK, MA 021362713 (Tel: 6173607960)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2024

Family Medicine (license number reported to NPPES: MA RN251799)

๐Ÿ“
Updated Practice Location April 13, 2021

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391047 (Tel: 6176651068)

๐Ÿ“
Updated Business Mailing Address April 13, 2021

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391047 (Tel: 6176651068)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2021

Nurse Practitioner (license number reported to NPPES: MA RN251799)

โœ…
NPI Profile Active November 06, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 06, 2017

Registered at 20 CENTRAL AVE FL 4, LYNN, MA 019011201 (Tel: 7815962502)

๐Ÿ“
Business Mailing Address (Initial Record) November 06, 2017

Registered at 20 CENTRAL AVE FL 4, LYNN, MA 019011201 (Tel: 7815962502)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 06, 2017

Recorded as MUTHSOUS MARCEL, NP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2017

Family Medicine (license number reported to NPPES: MA RN251799)

๐ŸŸข
Initial NPI Registration & Enumeration November 06, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326551904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2017
Last Update: August 17, 2024
Sole Proprietor: Yes

Mailing Address

1493 Cambridge St

Cambridge, MA 021391047

Phone: 6176651068

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.