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MR. ROBERT RITCHIE VANBUSSUM MD
NPI 1144222399
Family Medicine in Lexington, KY

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1760 NICHOLASVILLE RD, ST 603, LEXINGTON, KY 40503(859) 277-3636(859) 277-7575 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Robert Ritchie Vanbussum Md NPPES

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

MR. ROBERT RITCHIE VANBUSSUM MD (NPI 1144222399) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (22065) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of University Of Kentucky College Of Medicine (1981).

NPPES Registry Identity

NPI1144222399
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. ROBERT RITCHIE VANBUSSUMCredential: MD
Location Address1760 NICHOLASVILLE RD, ST 603Lexington, KY 40503-1471
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750
Phone(859) 277-3636
Fax(859) 277-7575
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1981
Enumeration DateJune 1, 2005
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1144222399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 22065
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1760 NICHOLASVILLE RD, Lexington, KY 40503
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Other Names 1

Other Name (5)Mr. R. Ritchie Van Bussum Md

Other Identifiers 1

Medicaid64220650KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Mr. Robert Ritchie Vanbussum 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.

PECOS PAC ID9739185745
PECOS Enrollment IDI20080401000611
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 10

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.

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.
260 services177 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
241 services241 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.
215 services148 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
65 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers26 claims74 services$5.49 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$183.81 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.

DR. JOHN CHARLES VANCE MD
Pediatrics (Neonatal-Perinatal Medicine)
1760 NICHOLASVILLE RD, SUITE 406
LEXINGTON, KY 40503
Fayette County (859) 276-1221
PAIN CONSULTANTS OF CENTRAL KENTUCKY, PLLC
Anesthesiology (Pain Medicine)
1760 NICHOLASVILLE RD, STE 301
LEXINGTON, KY 40503
Fayette County (859) 276-0206
DR. CHRISTIAN NORMAN RAMSEY III M.D.
Neurological Surgery
1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503
Fayette County (859) 277-6143
MOLLY YOUNG HESTER M.D.
Radiology (Diagnostic Radiology)
1760 NICHOLASVILLE RD, SUITE 401
LEXINGTON, KY 40503
Fayette County (859) 260-6537
ORTHOPEDIC CONSULTANTS PSC
Orthopaedic Surgery
1760 NICHOLASVILLE RD, SUITE 604
LEXINGTON, KY 40503
Fayette County (859) 255-9059
DR. WILLIAM E BLACKBURN MD
Urology
1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503
Fayette County (859) 277-5766
RICHARD TODD CRAWFORD PA-C
Physician Assistant (Medical)
1760 NICHOLASVILLE RD, STE 603
LEXINGTON, KY 40503
Fayette County (859) 277-3636
DR. RICHARD DAVID BAEHLER M.D.
Surgery
1760 NICHOLASVILLE RD, SUITE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711

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 Robert Vanbussum's NPI number?

The NPI number for Robert Vanbussum is 1144222399. It was assigned to this individual provider in the NPPES registry on June 1, 2005. The provider is also known as Mr. R. Ritchie Van Bussum MD.

Where is Robert Vanbussum located?

Robert Vanbussum practices at 1760 Nicholasville Rd St 603, Lexington, KY 40503. The listed phone number is (859) 277-3636.

What is Robert Vanbussum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Vanbussum enrolled in Medicare?

Yes. Robert Vanbussum 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.

What insurance does Robert Vanbussum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Robert Vanbussum 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 Robert Vanbussum affiliated with any hospitals?

According to CMS data, Robert Vanbussum is affiliated with Saint Joseph Hospital, Baptist Health Richmond, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Robert Vanbussum was last updated on December 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.