DONALD BUSCHMANN M.D.
NPI 1013218908
Family Medicine in Santa Monica, CA

Q: What is Donald Buschmann's NPI number?

The NPI number for Donald Buschmann is 1013218908. It was assigned to this individual provider in the NPPES registry on November 8, 2010.

Q: What is Donald Buschmann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Buschmann was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2010PECOS EnrolledAccepts Medicare Assignment

83.11/100

CMS Quality Rating

2424 WILSHIRE BLVD, SANTA MONICA, CA 90403(310) 828-4530 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Mar 17, 2018, Jul 31, 2017 and 2 more (5 updates tracked since 2016).

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About Donald Buschmann M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD BUSCHMANN M.D. (NPI 1013218908) is an individual family medicine provider in Santa Monica, California, licensed in California (C53776) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013218908

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDONALD BUSCHMANNCredential: M.D.

Location Address2424 WILSHIRE BLVDSanta Monica, CA 90403-5806

Mailing Address5767 W Century Blvd # 400Los Angeles, CA 90045-5631 · (310) 827-3700

Phone(310) 828-4530

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateNovember 8, 2010

Last NPPES UpdateJanuary 13, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1013218908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · C53776✔ Licensed in IL · 036178425

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License C53776 (CA)

2424 WILSHIRE BLVD, Santa Monica, CA 90403

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Secondary Practice Locations 2

Location 1885 Roosevelt Rd Ste 100Glen Ellyn, IL 60137-6141 · Phone (630) 938-6000 · Fax (630) 384-6229

Location 25767 W Century Blvd, 400Los Angeles, CA 90045-5631 · Phone (310) 301-8732

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Buschmann M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971790585

PECOS Enrollment IDI20220527000166, I20260121001902

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.91

Promoting Interoperability

100

Improvement Activities

Cost

61.09

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

88%272 patients4/55-star benchmark: 100%

Chlamydia Screening for Women

70%454 patients

Closing the Referral Loop: Receipt of Specialist Report

3%288 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

0%657 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

31%35 patients2/55-star benchmark: 91%

Diabetes: Eye Exam

0%37 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%37 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%3,336 patients4/55-star benchmark: 100%

e-Prescribing

98%1,331 patients4/55-star benchmark: 100%

HIV Screening

15%3,073 patients2/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

29%3,155 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%3,127 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 32% · 1,339 patients

Patients screened: 35% · 1,339 patients

4%53 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

92%2,242 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 209 patients

Patients totalRate: 0% · 209 patients

0%209 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES

Durable Medical Equipment & Medical Supplies