Individual provider Active NPI

Steve Earl Musick I, M.D.

  • Dermatology Physician
  • Swansea, IL
National Provider Identifier
1831176775
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036089938 Issued in IL
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

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036089938MedicaidIL
31779OtherILBCBS OF MO
070007234OtherILMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000200 IL Practitioner - Dermatology 3971577966 Reassigns benefits to 1 organization

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
Musick Dermatology and Advanced Clinical Spa LLCGroup PAC ID 3577636604, 7 clinicians

Practice addresses (Care Compare)

4948 Benchmark Centre Dr
Swansea, IL 62226-2027
Phone (618) 628-2588

Hospital & facility affiliations

  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions1854
Removal of nail tissue1-10
Removal or shaving of skin growth20
Skin biopsy576

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036089938ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musick Dermatology & Advanced Clinical Spa, LLC Dermatology CurrentSince Jul 1, 2008 Accepting new patients
Distinctive Dermatologyltd Dermatology PastSince Sep 1, 1997 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.