MR. FORREST K BUSCH JR. DO
NPI 1063425791
Dermatology in Dyersburg, TN

Q: What is Forrest Busch's NPI number?

The NPI number for Forrest Busch is 1063425791. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Forrest Busch's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Forrest Busch was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 August 14, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 44D0909840 · Waiver

89.72/100

CMS Quality Rating

1950 COOK ST, DYERSBURG, TN 38024(731) 286-4300(731) 286-8008 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Mr. Forrest K Busch Jr. Do NPPES

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

MR. FORREST K BUSCH JR. DO (NPI 1063425791) is an individual dermatology provider in Dyersburg, Tennessee, licensed in Tennessee (DO0000000839) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 20, 2027, and is affiliated with Dyersburg Regional Medical Center.

NPPES Registry Identity

NPI1063425791

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameMR. FORREST K BUSCH JR.Credential: DO

Location Address1950 COOK STDyersburg, TN 38024

Mailing Address710 Hwy 51 Bypass, Pmb 363Dyersburg, TN 38024 · (731) 286-4300 · Fax (731) 286-8008

Phone(731) 286-4300

Fax(731) 286-8008

Sole ProprietorYes

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1987

Enumeration DateAugust 14, 2006

Last NPPES UpdateSeptember 10, 2015

✔ NPI 1063425791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in TN · DO0000000839

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License DO0000000839 (TN)

Also ListedGeneral PracticeTaxonomy 208D00000X · License DO0000000839 (TN)

1950 COOK ST, Dyersburg, TN 38024

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Other Identifiers 3

Other070009417TN · Railroad Medicare

Medicare UPINE34164TN

Medicaid3303355TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Mr. Forrest K Busch Jr. Do 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 ID5799773834

PECOS Enrollment IDI20110121000494

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.

Medicare Billing Reassignment

Medicare enrollment records show Forrest Busch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Forrest Kenton Busch, D.O. P.C.

Same address

Dermatology

1950 COOK ST
Dyersburg, TN 38024

Reassigned Medicare billing, Tennessee enrollment
2 clinicians in this Medicare group

NPI 1740483692 (731) 286-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0909840

Forrest Kenton Busch Do PC Dba Dyersburg Skin Clinic & Urgent Care Clinic · Dyersburg, TN

Active · expires Aug 20, 2027

CLIA Number44D0909840

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorMr. Forrest K. Busch

Laboratory Phone(731) 286-4300

Laboratory LocationForrest Kenton Busch Do PC Dba Dyersburg Skin Clinic & Urgent Care Clinic1950 Cook St Ste A & B, Dyersburg, TN 38024

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 30

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

3,040 services44 patients

Ultrasonic guidance for placement of radiation therapy fields G6001

Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.

1,003 services51 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

990 services34 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

953 services48 patients

Superficial and/or low voltage radiation treatment delivery 77401

Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.

913 services47 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.

770 services458 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

360 services93 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

235 services99 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

226 services146 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

188 services163 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

187 services177 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

150 services47 patients

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.

126 services126 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

109 services105 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

71 services71 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

49 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

49 services49 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

45 services42 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

42 services37 patients

Simple radiation therapy planning 77261

Simple radiation therapy planning is a process to determine the exact area on your body where the radiation will be directed. It involves imaging studies like CT scans to precisely target the disease, minimizing harm to healthy tissue. It's a crucial step in your treatment journey.

41 services41 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

27 services26 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

21 services21 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

21 services20 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less 17260

This procedure involves removing a small cancerous skin growth (0.5 cm or less) located on the trunk, arms, or legs. The growth is destroyed using techniques such as surgery, lasers, or radiation, aiding in the prevention of cancer spread.

16 services14 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

16 services14 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 17281

This procedure involves the removal of cancerous skin growths on the face, ears, eyelids, nose, lips, or mouth that are between 0.6-1.0 cm in size. The goal is to eliminate cancer cells, preventing further spread and promoting health.

15 services14 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

14 services13 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

14 services13 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

12 services12 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440072

Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38024 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

89.72/100

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

Individually scored

Quality

92.77

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

3%1,065 patients1/55-star benchmark: 100%

Controlling High Blood Pressure

69%506 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

24%5,613 patients1/55-star benchmark: 100%

Immunizations for Adolescents

Patients HPV: 0% · 45 patients

Patients meningococcal: 0% · 45 patients

Patients Tdap: 0% · 45 patients

0%45 patients

Melanoma: Continuity of Care - Recall System

100%68 patients

One-Time Screening for Hepatitis C Virus (HCV) for all Patients

27%1,325 patients2/55-star benchmark: 98%

Patient-Centered Surgical Risk Assessment and Communication

100%89 patients5/55-star benchmark: 100%

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

28%2,817 patients1/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%2,536 patients1/55-star benchmark: 100%

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

23%4,311 patients1/55-star benchmark: 100%

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

Patients combinedPopulations: 47% · 1,328 patients

Patients screened: 59% · 1,328 patients

6%180 patients1/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 14% · 1,328 patients

Patients screened: 15% · 1,328 patients

0%24 patients

Provide Patients Electronic Access to Their Health Information

52%3,662 patients1/55-star benchmark: 100%

Psoriasis: Clinical Response to Systemic Medications

29%124 patients

Tobacco Use and Help with Quitting Among Adolescents

73%446 patients1/55-star benchmark: 100%

Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy

100%125 patients5/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

0%572 patients1/55-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 4

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

FIRST CHOICE MEDICAL CARE PLLC

Internal Medicine

1950 COOK ST, STE D
DYERSBURG, TN 38024

Dyer County (731) 285-7999

ROBERT WALTER MAGEE MD

Family Medicine

1950 COOK ST, SUITE F
DYERSBURG, TN 38024

Dyer County (731) 882-1871

FORREST KENTON BUSCH, D.O. P.C.

Dermatology

1950 COOK ST
DYERSBURG, TN 38024

Dyer County (731) 286-4300

DR. MOHAMMAD YOUSUF MD

Internal Medicine

1950 COOK ST, SUITE D
DYERSBURG, TN 38024

Dyer County (731) 285-7999

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 Forrest Busch's NPI number?

The NPI number for Forrest Busch is 1063425791. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Forrest Busch located?

Forrest Busch practices at 1950 Cook St, Dyersburg, TN 38024. The listed phone number is (731) 286-4300.

What is Forrest Busch's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Forrest Busch enrolled in Medicare?

Yes. Forrest Busch 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 organization bills Medicare for Forrest Busch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Forrest Busch reassigns Medicare benefits to Forrest Kenton Busch, D.O. P.C. (Dyersburg, TN). The 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 Forrest Busch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Forrest Busch hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0909840) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forrest Busch accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Forrest Busch 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 Forrest Busch affiliated with any hospitals?

According to CMS data, Forrest Busch is affiliated with Dyersburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Forrest Busch was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.