DR. JOHN BUSCLAS MD
NPI 1013411305
Family Medicine in Metropolis, IL
About Dr. John Busclas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN BUSCLAS MD (NPI 1013411305) is an individual family medicine provider in Metropolis, Illinois, licensed in Illinois (036.172020) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Massac Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Busclas Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Busclas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paducah, KY 42003
- Reassigned Medicare billing, Illinois enrollment
- 12 clinicians in this Medicare group
Harrisburg, IL 62946
- Reassigned Medicare billing, Illinois enrollment
- 169 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Massac Memorial Hospital
Critical Access Hospitals · Metropolis, ILBaptist Health Paducah
Acute Care Hospitals · Paducah, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
METROPOLIS, IL 62960
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Busclas's NPI number?
The NPI number for John Busclas is 1013411305. It was assigned to this individual provider in the NPPES registry on March 21, 2018.
Where is John Busclas located?
John Busclas practices at 1203 W 10th St, Metropolis, IL 62960. The listed phone number is (618) 524-3795.
What is John Busclas's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Busclas enrolled in Medicare?
Yes. John Busclas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Busclas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Busclas reassigns Medicare benefits to 2 organizations: Baptist Health Medical Group Inc (Paducah, KY) and Statera Health Care, LLC (Harrisburg, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Busclas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Busclas accept?
Health plans from Anthem Blue Cross and Blue Shield list John Busclas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Busclas affiliated with any hospitals?
According to CMS data, John Busclas is affiliated with Massac Memorial Hospital and Baptist Health Paducah.
When was this NPI record last updated?
The NPPES record for John Busclas was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. John Busclas, MD · NPI 1013411305
Family Medicine physician in Metropolis, Illinois. Individual provider, active in the CMS NPPES registry since March 21, 2018.
## Identity
- **NPI:** 1013411305 (Entity type: Individual)
- **Enumerated:** March 21, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036.172020 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1203 W 10TH ST, Metropolis, IL 62960-2433
- **Phone:** (618) 524-3795 · **Fax:** (618) 524-3211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Baptist Health Medical Group Inc (NPI 1922401611, Paducah, KY); Statera Health Care, LLC (NPI 1043874449, Harrisburg, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013411305) · Data from the CMS NPPES public registry.