Andrew Mutiso, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

38249 Issued in KY

Practice address

5000 Ky Rte 321
Prestonsburg, KY 41653

Phone

(606) 886-7733

Fax

(606) 886-7400

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Emergency Medicine

Education

University of Kentucky College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Valley Emergency Physicians, LLCGroup PAC ID 4385035534, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highlands Arh Regional Medical Center Hospital, Prestonsburg, KY, CCN 180005

Merit-based Incentive Payment System (MIPS)

Final score

96.15 of 100Reported as group

Quality

82.35

Improvement activities

40

Cost

83.51

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.

• Green Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1720755739
  Medicare reassignment Care Compare group NPD
• Floyd Emergency Group, LLC

  • Emergency Medicine Physician
  • Prestonsburg, KY
  • NPI 1760834345
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Williamson Emergency Physicians LLC

  • Emergency Medicine Physician
  • South Williamson, KY
  • NPI 1740492644
  Medicare reassignment NPD
• Arh Tug Valley Health Services, Inc.

  dba Highlands ARH Regional Medical Center

  • General Acute Care Hospital
  • Prestonsburg, KY
  • NPI 1043878325
  NPD (past)
• Jackson Hospital Corporation

  dba Kentucky River ER, Anesth, Radiology

  • Emergency Medicine Physician
  • Jackson, KY
  • NPI 1679774996
  NPD (past)
• Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1891737185
  NPD (past)

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

• Arh Tug Valley Health Services, Inc.

  dba Highlands ARH Regional Medical Center

  • General Acute Care Hospital
  • Prestonsburg, KY
  • NPI 1043878325
  Care Compare affiliation
• Arh Tug Valley Health Services, Inc.

  dba ARH Medical and Surgical Associates - Highlands

  • Multi-Specialty Clinic/Center
  • Prestonsburg, KY
  • NPI 1700445319

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1699750059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25708",
            "telephone_number": "304-429-1088",
            "fax_number": "304-429-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 KY RTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-886-7733",
            "fax_number": "606-886-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTISO",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "38249",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38249",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "38249",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "38249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64080815",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaylynn Murrillo, MHA
• Christy Music
• Connie Music
• Faith Music
• Lonna Music
• Karla Myers
• Ashley Nance
• Brandon Napier
• Karrington Napier
• Melissa Napier

• Emergency Medicine Physician in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.