KARINA BUSCH MD
NPI 1194765891
Emergency Medicine in Elizabethtown, KY

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701(877) 783-6257 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karina Busch Md NPPES

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

KARINA BUSCH MD (NPI 1194765891) is an individual emergency medicine provider in Elizabethtown, Kentucky, licensed in Kentucky (40177) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Cincinnati College Of Medicine (2000).

NPPES Registry Identity

NPI1194765891
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKARINA BUSCHCredential: MD
Location Address913 N DIXIE AVEElizabethtown, KY 42701-2503
Mailing AddressPo Box 950112Louisville, KY 40295-0112 · (888) 400-8870
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2000
Enumeration DateJune 8, 2006
Last NPPES UpdateMay 4, 2021
NPPES CertifiedMay 4, 2021
NPI 1194765891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 40177 Licensed in KY · TP426
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License 40177 (KY)
913 N DIXIE AVE, Elizabethtown, KY 42701

Other Identifiers 1

Medicaid64118433KY

Accepted 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

Karina Busch 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 ID2668495003
PECOS Enrollment IDI20060111000734
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 6

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 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.
216 services97 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.
161 services78 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
59 services25 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.
50 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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 13

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier27 claims2,280 services$0.10 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
2 suppliers34 claims981 services$20.24 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers53 claims1,848 services$7.03 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims138 services$6.59 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6210
DME-Medical/Surgical Supplies · category DA023N
1 supplier22 claims286 services$19.27 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims180 services$9.14 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.

Pharmacist (Critical Care)
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701
Psychiatric Unit
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701
Nurse Practitioner (Family)
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701
Pathology (Anatomic Pathology & Clinical Pathology)
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701
Emergency Medicine
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701
Registered Nurse (Critical Care Medicine)
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701
Emergency Medicine
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701
Internal Medicine
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701

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 Karina Busch's NPI number?

The NPI number for Karina Busch is 1194765891. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Karina Busch located?

Karina Busch practices at 913 N Dixie Ave, Elizabethtown, KY 42701. The listed phone number is (877) 783-6257.

What is Karina Busch's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Karina Busch enrolled in Medicare?

Yes. Karina 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.

What insurance does Karina Busch accept?

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

According to CMS data, Karina Busch is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for Karina Busch was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.