Physician

Kevin Musto, M.D.

According to 2025 Medicare claims, Kevin Musto, M.D. (NPI: 1669884607) practices internal medicine in the Scranton--Wilkes-Barre, PA market, with the plurality of this provider's patient population coming from Luzerne, PA. This provider's primary affiliated billing organization is COMMONWEALTH PHYSICIAN NETWORK LLC (NPI: 1003238635; TIN: 800955310) and primary practice location at 18640-3247. Musto is affiliated with the CHSPSC ACO 13, LLC (ACO ID: A3723) and CHS ACO Op Co LLC (ACO ID: D0337), participating under both the MSSP and REACH models.

Musto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,159 traditional Medicare patients, billed 7,748 HCPCS/CPT codes, and received $434,306 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 31,723 prescription claims across 1,420 beneficiaries totaling $2,009,673 in drug costs, led by Eliquis (Apixaban). DME data shows 1,215 claims. Open Payments data shows 126 records totaling $1,911. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $55,168 to $434,306. Similarly, Part D prescription costs have risen steadily, from $9,929 to $2,009,673. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $750 to $85,548.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	297	1,391	$55,168
2018	403	3,755	$146,118
2019	665	4,929	$196,586
2020	997	6,656	$364,000
2021	952	5,963	$308,487
2022	906	6,810	$354,829
2023	1,128	8,079	$418,174
2024	1,159	7,748	$434,306

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	52	136	$9,929
2016	54	120	$5,349
2017	327	1,475	$55,128
2018	440	10,512	$540,332
2019	646	13,369	$729,403
2020	1,125	20,553	$1,121,423
2021	1,060	23,206	$1,268,926
2022	1,024	24,349	$1,452,302
2023	1,240	23,908	$1,552,257
2024	1,420	31,723	$2,009,673

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	69	352	$5,805
2019	79	370	$5,626
2020	127	588	$18,210
2021	132	887	$20,696
2022	159	837	$31,137
2023	215	1,006	$45,542
2024	312	1,215	$57,038

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	766	766	$124
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	551	1,158	$81
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	231	733	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	385	623	$55
G0444	Annual depression screening, 5 to 15 minutes	367	367	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	755	18,159	$363,050
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	126	4,872	$104,888
Januvia	Sitagliptin Phosphate	170	5,715	$100,887
Jardiance	Empagliflozin	131	4,109	$83,681
Xarelto	Rivaroxaban	121	3,808	$73,452

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	11	55	$20,196
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	15	87	$5,372
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each	N	19	19	$3,163
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	51	$2,622
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	N	20	21	$2,594

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	126	$1,911	PFIZER INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Kevin Musto, M.D.?

Tedicare shows public-source Medicare data for Kevin Musto, M.D. (NPI 1669884607), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kevin Musto, M.D. have ACO affiliation data?

Kevin Musto, M.D. is shown with ACO affiliation data for CHSPSC ACO 13, LLC (MSSP, ACO ID A3723) and CHS ACO Op Co LLC (REACH, ACO ID D0337).

What billing organization is linked to Kevin Musto, M.D.?

Kevin Musto, M.D. is linked to COMMONWEALTH PHYSICIAN NETWORK LLC (billing NPI 1003238635) in the available physician profile data.

Does Kevin Musto, M.D. have Open Payments data?

Kevin Musto, M.D. has 126 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.