Jason Lee Mussman, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

49090 Issued in AZ

Practice address

10240 W. Indian School Rd.
Suite 115
Phoenix, AZ 85037

Phone

(623) 243-9077

Fax

(623) 271-9826

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Wayne State University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regency Reconstruction PLLCGroup PAC ID 4082968995, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Regency Reconstruction PLLC

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
  • NPI 1972086924
  Medicare reassignment Care Compare group NPD Authorized official
• Mussman, PLLC

  • Plastic Surgery Physician
  • Phoenix, AZ
  • NPI 1821539156
  Medicare reassignment NPD Authorized official
• Regency Ambulatory Surgery Center One, LLC

  • Ambulatory Surgical Clinic/Center
  • Surprise, AZ
  • NPI 1073155834
  Medicare reassignment NPD Authorized official
• Advanced Ambulatory Surgery Center One, LLC

  • Ambulatory Surgical Clinic/Center
  • Surprise, AZ
  • NPI 1710509880
  NPD (past) Authorized official
• Regency Reconstruction PLLC

  • Plastic and Reconstructive Surgery Physician
  • Tucson, AZ
  • NPI 1568056570
  NPD (past) Authorized official

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

• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914
  Care Compare affiliation

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1144430182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 W. INDIAN SCHOOL RD.",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "623-251-6431",
            "fax_number": "623-271-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W. INDIAN SCHOOL RD.",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "623-243-9077",
            "fax_number": "623-271-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSMAN",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301097818",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "49090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thierry Musore
• Musselman Dentistry PLLC
• Joseph Musselman, DMD
• Caroline R Musselwhite, CCC-SLP
• Musser Enterprises LLC
• Mussman, PLLC
• Pooneh Mussman, PA
• Esmat Mufeed Mustafa, M.D.
• Nanahauwau Mustapha
• Desiree Mustin

• Plastic and Reconstructive Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.