NPIMap

Individual provider Active NPI

Paul S Musco, M.D.

  • Ophthalmology Physician
  • Plymouth, NH
National Provider Identifier
1063579886
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17272 Issued in NH
Practice address
103 Boulder Point Drive
Plymouth, NH 03264-3168
Phone
(603) 536-1284
Fax
(603) 536-3136
NPI assigned
Jan 2, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD07090 RI
Ophthalmology Physician 207W00000X 17272 NH Primary

Addresses

Primary practice location

103 Boulder Point Drive
Plymouth, NH 03264-3168

Mailing address

PO Box 706
Plymouth, NH 03264-0706
Phone (314) 989-0300

Other identifiers 6

IdentifierTypeStateIssuer
180005429OtherRAILROAD MEDICARE
202101OtherRIBLUECHIP
9002443MedicaidRI
2443-5OtherRIBLUE CROSS BLUE SHIELD
08-001055OtherUNITED HEALTHCARE
MD07090OtherRIRI MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100513000255 RI Practitioner - Ophthalmology 7214065143 Practice locations: Cranston, RI
I20160106001845 NH Practitioner - Ophthalmology 7214065143 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speare Memorial HospitalGroup PAC ID 1153318068, shared by 12 NPIs, 49 clinicians

Practice addresses (Care Compare)

103 Boulder Point Dr
Plymouth, NH 03264-3168

103 Boulder Point Dr
Plymouth, NH 03264-3183
Phone 6035361120218

16 Hospital Rd
Plymouth, NH 03264-1126

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.54 of 100Reported as individual
Quality
28.25
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD07090RIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Speare Memorial Hospital Ophthalmology CurrentSince Dec 1, 2015 Accepting new patients
Speare Memorial Hospital Current Accepting new patients
Speare Memorial Hospital Current Accepting new patients
Speare Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients
Speare Memorial Hospital CurrentSince Dec 3, 2017 Accepting new patients
Speare Memorial Hospital CurrentSince Jun 27, 2025 Accepting new patients

Locations

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063579886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032640706",
            "telephone_number": "314-989-0300",
            "fax_number": "603-238-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BOULDER POINT DRIVE",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643168",
            "telephone_number": "603-536-1284",
            "fax_number": "603-536-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCO",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD07090",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "17272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180005429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "202101",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002443",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2443-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "08-001055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MEDICAL LICENSE",
            "identifier": "MD07090",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

Verify at the official NPI Registry.