BLAKELYN L BUSSE DO
NPI 1093238230
Orthopaedic Surgery in Belleville, IL

Active since July 19, 2017PECOS EnrolledAccepts Medicare Assignment
4700 MEMORIAL DR STE 340, BELLEVILLE, IL 62226(618) 234-9884 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 5, 2022, Jul 19, 2017 (3 updates tracked since 2017).

About Blakelyn L Busse Do NPPES

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

BLAKELYN L BUSSE DO (NPI 1093238230) is an individual orthopaedic surgery provider in Belleville, Illinois, licensed in Illinois (036.159450) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Kingsport.

NPPES Registry Identity

NPI1093238230
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBLAKELYN L BUSSECredential: DO
Location Address4700 MEMORIAL DR STE 340Belleville, IL 62226-5373
Mailing Address4700 Memorial Dr Ste 340Belleville, IL 62226-5373 · (618) 234-9884
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateJuly 19, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
NPI 1093238230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036.159450
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4700 MEMORIAL DR STE 340, Belleville, IL 62226

Secondary Practice Location 1

Location 1130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-3292

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

Blakelyn L Busse 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 ID9436531407
PECOS Enrollment IDI20220808002024
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,604 services104 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
241 services120 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.
186 services144 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.
119 services91 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.
104 services104 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
86 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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.

Orthopaedic Surgery
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Orthopaedic Surgery (Hand Surgery)
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Orthopaedic Surgery
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Orthopaedic Surgery (Sports Medicine)
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Physician Assistant (Medical)
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Physical Therapist
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226

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 Blakelyn Busse's NPI number?

The NPI number for Blakelyn Busse is 1093238230. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Blakelyn Busse located?

Blakelyn Busse practices at 4700 Memorial Dr Ste 340, Belleville, IL 62226. The listed phone number is (618) 234-9884.

What is Blakelyn Busse's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Blakelyn Busse enrolled in Medicare?

Yes. Blakelyn Busse 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 Blakelyn Busse affiliated with any hospitals?

According to CMS data, Blakelyn Busse is affiliated with Memorial Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Blakelyn Busse was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.