Paul James Mustacchia, M.D.
Gastroenterology Physician · East Meadow, NY
Paul James Mustacchia, M.D. is a gastroenterology physician with a practice address in East Meadow, New York, and NPI 1285693820, issued on Mar 22, 2006. Check the license (New York 204876, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Paul James Mustacchia
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 204876 NY
Self-reported in NPPES; status is on the state search - Practice location
- 2201 Hempstead Tpke, East Meadow, NY 11554
- Phone
- (516) 572-6501
- Enumerated
- Mar 22, 2006
- Record last updated
- Apr 29, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (516) 572-5609
- Medicaid ID
- 01765439 NY
- Medicare enrollment
- Enrolled (PECOS I20050811000634); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Buffalo School Of Medicine, 1994
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 1,797 in New York → Look up another NPI →
Also registered at 2201 Hempstead Tpke
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jason James Abella, M.DAnesthesiology Physician1811420912
- Sarah Abraham, MDStudent in an Organized Health Care Education/Training Program1154017663
- Diana Abramova, DDSStudent in an Organized Health Care Education/Training Program1215356415
- Brittany Abshire, DMDDentist1841794542
- Daniel AcampaStudent in an Organized Health Care Education/Training Program1083355689
- Drew Accordino, MDAnesthesiology Physician1275776122
Verify Paul James Mustacchia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 204876Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average gastroenterology physician in 2024
62 Medicare Part D claims for 26 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Nassau Health Care CorporationEast Meadow, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Paul James Mustacchia among 1,797 gastroenterology physician records in New York
Paul James Mustacchia, M.D. is one of 1,797 gastroenterology physician records with a practice address in New York. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 44% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated1994 · median 1999 among the 1,378 with a school on file
- Record last updated2014 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in New York
There are 1,797 gastroenterology physician records in New York.
All 1,797 in New York → Every provider in East Meadow → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Syed Karim, DOEast Meadow, NY 115541073047114
- Seth LipkaEast Meadow, NY 115541831404052
- Richard Rubin, MDEast Meadow, NY 115541851381750
- Atul Sinha, MDEast Meadow, NY 115541427518513
- Umair Nasir, DOUniondale, NY 115531780172445
- Vikram Singh, MDUniondale, NY 115531336550524
- Jennifer Slane, D.O.Uniondale, NY 115531336401371
- Andrew Marshall, M.D.Hewlett, NY 115571801846290
Common questions
What is Paul James Mustacchia, M.D.'s NPI number?
Paul James Mustacchia, M.D.'s National Provider Identifier (NPI) is 1285693820, issued on Mar 22, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Paul James Mustacchia, M.D. located?
The NPPES record lists a practice address at 2201 Hempstead Tpke, East Meadow, NY, 11554. Phone: (516) 572-6501. Providers update this record themselves, so call before visiting.
How can I verify Paul James Mustacchia, M.D.'s license?
NPPES lists New York license number 204876, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Paul James Mustacchia, M.D. prescribe under Medicare Part D?
In 2024, Paul James Mustacchia, M.D. had 62 Medicare Part D claims for 26 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Paul James Mustacchia, M.D.'s MIPS final score?
The 2023 MIPS final score is 79.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.