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DR. SUSAN J BUSHELMAN M.D.
NPI 1073632733
Dermatology in Florence, KY

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
67.26/100
CMS Quality Rating
7766 EWING BLVD, STE 100, FLORENCE, KY 41042(859) 283-1033(859) 283-1066 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan J Bushelman M.d. NPPES

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

DR. SUSAN J BUSHELMAN M.D. (NPI 1073632733) is an individual dermatology provider in Florence, Kentucky, licensed in Kentucky (30551) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of University Of Kentucky College Of Medicine (1993).

NPPES Registry Identity

NPI1073632733
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SUSAN J BUSHELMANCredential: M.D.
Location Address7766 EWING BLVD, STE 100Florence, KY 41042-7538
Mailing Address7766 Ewing Blvd, Ste 100Florence, KY 41042-7538 · (859) 283-1033 · Fax (859) 283-1066
Phone(859) 283-1033
Fax(859) 283-1066
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1993
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1073632733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in KY · 30551
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.

7766 EWING BLVD, Florence, KY 41042
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Other Identifiers 3

Other000000291599Anthem Id
Other03-0055United Healtcare Id
Other3230980Aetna Id

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. Susan J Bushelman 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 ID7315120326
PECOS Enrollment IDI20120131000846
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 13

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.

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.
575 services98 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.
275 services220 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.
168 services139 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.
105 services93 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.
101 services101 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.
75 services66 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

67.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.2
Promoting Interoperability0
Improvement Activities40
Cost100

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,301 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
38%935 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
79%3,322 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%917 patients3/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
86%593 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
79%3,322 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%3,323 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
98%257 patients
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 16

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

ELIZABETH N VELAZQUEZ-NOLL MD
Family Medicine
7766 EWING BLVD, SUITE L
FLORENCE, KY 41042
Boone County (859) 371-1153
DR. SHIVAM RAM KEDIA DO
Family Medicine
7766 EWING BLVD
FLORENCE, KY 41042
Boone County (859) 371-1153
BARBARA LEHMAN MSN APRN
Nurse Practitioner
7766 EWING BLVD, SU. L
FLORENCE, KY 41042
Boone County (859) 371-1153
ALYSSA ANNE PRICE DO
Family Medicine
7766 EWING BLVD
FLORENCE, KY 41042
Boone County (859) 371-1153
NICHOLAS BRINKMAN
Family Medicine
7766 EWING BLVD
FLORENCE, KY 41042
Boone County (859) 371-1153
DR. MARK J ZALLA M.D.
Dermatology
7766 EWING BLVD, STE 100
FLORENCE, KY 41042
Boone County (859) 283-1033
DR. MOLLY G EISNER M.D.
Dermatology
7766 EWING BLVD, SUITE 100
FLORENCE, KY 41042
Boone County (859) 283-1033
DR. SABRA MARIE ABNER M.D.
Dermatology (Dermatopathology)
7766 EWING BLVD, SUITE 100
FLORENCE, KY 41042
Boone County (859) 283-1033

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 Susan Bushelman's NPI number?

The NPI number for Susan Bushelman is 1073632733. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Susan Bushelman located?

Susan Bushelman practices at 7766 Ewing Blvd Ste 100, Florence, KY 41042. The listed phone number is (859) 283-1033.

What is Susan Bushelman's specialty?

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

Is Susan Bushelman enrolled in Medicare?

Yes. Susan Bushelman 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 Susan Bushelman affiliated with any hospitals?

According to CMS data, Susan Bushelman is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Susan Bushelman was last updated on August 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.