Individual provider Active NPI

William L. Musgrave, D.O.

  • Family Medicine Physician
  • Keller, TX
National Provider Identifier
1770898306
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P5850 Issued in TX
Practice address
1750 Keller Parkway
Keller, TX 76248-3704
Phone
(817) 310-9510
Fax
(817) 310-9513
NPI assigned
Aug 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P5850 TX Primary

Addresses

Primary practice location

1750 Keller Parkway
Keller, TX 76248-3704

Mailing address

1750 Keller Parkway
Keller, TX 76248-3704
Phone (817) 310-9510

Other practice location 1

300 N Rufe Snow Dr
Keller, TX 76248-4235
Phone (817) 753-7344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20140425000939 TX Practitioner - Family Practice 3375783012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musgrave Family MedicineGroup PAC ID 4880028364, 3 clinicians

Practice addresses (Care Compare)

1750 Keller Pkwy
Keller, TX 76248-3704
Phone (817) 310-9510

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

Merit-based Incentive Payment System (MIPS)

Final score
30.17 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
80.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5850TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musgrave Specialized Care, PLLC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Jerry L Lugger MD PA CurrentSince Oct 1, 2022 Accepting new patients
Kaikoa LLC PastSince Mar 1, 2021 Accepting new patients

Locations

300 N Rufe Snow Dr
Keller, TX 76248
Phone (254) 289-2285

1750 Keller Pkwy
Keller, TX 76248
Phone (817) 310-9510

3061 W Southlake Blvd
Ste 130
Southlake, TX 76092
Phone (817) 310-9510

Interoperability endpoints

  • Direct secure messaging: william.musgrave.1@11970.direct.athenahealth.com
  • Direct secure messaging: williammusgrave@mfm.ssdirect.aprima.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1770898306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KELLER PARKWAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483704",
            "telephone_number": "817-310-9510",
            "fax_number": "817-310-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KELLER PARKWAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483704",
            "telephone_number": "817-310-9510",
            "fax_number": "817-310-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Rufe Snow Dr",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762484235",
            "country_code": "US",
            "telephone_number": "817-753-7344",
            "fax_number": "817-753-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSGRAVE",
        "first_name": "WILLIAM",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.