Active NPI
Steve Earl Musick I, M.D.
- Dermatology Physician
- Swansea, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036089938
- Practice address
- 4948 Benchmark Centre Dr
Swansea, IL 62226-2027 - Phone
- (618) 628-2588
- Fax
- (618) 628-1363
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036089938 | IL | Primary |
Addresses
Primary practice location
4948 Benchmark Centre Dr
Swansea, IL 62226-2027
Mailing address
4948 Benchmark Centre Dr
Swansea, IL 62226-2027
Phone (618) 628-2588
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089938 | Medicaid | IL | |
| 31779 | Other | IL | BCBS OF MO |
| 070007234 | Other | IL | MEDICARE RR PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Missouri, Columbia School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4948 Benchmark Centre Dr
Swansea, IL 62226-2027
Phone (618) 628-2588
Hospital & facility affiliations
- Memorial Hospital
- SSM Health Saint Louis University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 39 |
| Removal of skin lesions | 1854 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 20 |
| Skin biopsy | 576 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036089938 | IL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musick Dermatology & Advanced Clinical Spa, LLC | Dermatology | Current | Accepting new patients |
| Distinctive Dermatologyltd | Dermatology | Past | Accepting new patients |
Locations
4932 Benchmark Centre Dr
Ste 3
Swansea, IL 62226
Phone (618) 628-2588
4948 Benchmark Centre Dr
Swansea, IL 62226
Phone (618) 628-2588
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/GRzkF6yCy_Pe-6F3SJzcXkCEiy_u6zZe/
Organizations & group practices 2
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.
-
- Dermatology Physician
- Swansea, IL
- NPI 1922260587
-
- Dermatology Physician
- Swansea, IL
- NPI 1518028398
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1831176775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4948 BENCHMARK CENTRE DR",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262027",
"telephone_number": "618-628-2588",
"fax_number": "618-628-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4948 BENCHMARK CENTRE DR",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262027",
"telephone_number": "618-628-2588",
"fax_number": "618-628-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSICK",
"first_name": "STEVE",
"middle_name": "EARL",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036089938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089938",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MO",
"identifier": "31779",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PTAN",
"identifier": "070007234",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.