DR. HEATHER JEANNINE BUSICK M.D.
NPI 1023374196
Internal Medicine in Rochester, NY

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
913 CULVER RD, ROCHESTER, NY 14609(585) 276-7900(585) 288-1381 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2023, Mar 31, 2021, Sep 6, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Heather Jeannine Busick M.d. NPPES

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

DR. HEATHER JEANNINE BUSICK M.D. (NPI 1023374196) is an individual internal medicine provider in Rochester, New York, licensed in New York (279024) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of University Of Massachusetts Medical School (2012).

NPPES Registry Identity

NPI1023374196
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HEATHER JEANNINE BUSICKCredential: M.D.
Location Address913 CULVER RDRochester, NY 14609
Mailing Address905 Culver RdRochester, NY 14609-7115 · (585) 276-7900 · Fax (585) 288-1381
Fax(585) 288-1381
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2012
Enumeration DateApril 3, 2012
Last NPPES UpdateJuly 6, 20235 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1023374196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 279024
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 279024 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 279024 (NY)
913 CULVER RD, Rochester, NY 14609

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

Dr. Heather Jeannine Busick 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 ID3173816444
PECOS Enrollment IDI20160725000519
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 3

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14609 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers22 claims22 services$13.79 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier17 claims40 services$14.19 avg. paid by Medicare
Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system E1234
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$136.10 avg. paid by Medicare
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes K0739
DME-Other DME · category DE000N
3 suppliers20 claims87 services$23.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
913 CULVER RD
ROCHESTER, NY 14609
Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609
Student in an Organized Health Care Education/Training Program
913 CULVER RD
ROCHESTER, NY 14609
Pediatrics
913 CULVER RD
ROCHESTER, NY 14609
Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609
Social Worker
913 CULVER RD
ROCHESTER, NY 14609
Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609
Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609

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 Heather Busick's NPI number?

The NPI number for Heather Busick is 1023374196. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Heather Busick located?

Heather Busick practices at 913 Culver Rd, Rochester, NY 14609. The listed phone number is (585) 276-7900.

What is Heather Busick's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Heather Busick enrolled in Medicare?

Yes. Heather Busick 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.

Is Heather Busick affiliated with any hospitals?

According to CMS data, Heather Busick is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heather Busick was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.