KRISTIN R. BUSS PA-C
NPI 1225305881
Physician Assistant in Springfield, IL

Active since November 28, 2011PECOS EnrolledAccepts Medicare Assignment
2801 MATHERS RD, SPRINGFIELD, IL 62711(217) 789-3600 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kristin R. Buss Pa-c NPPES

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

KRISTIN R. BUSS PA-C (NPI 1225305881) is an individual physician assistant in Springfield, Illinois, licensed in Illinois (085-004213) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1225305881
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN R. BUSSCredential: PA-C
Location Address2801 MATHERS RDSpringfield, IL 62711-7064
Mailing Address2801 Mathers RdSpringfield, IL 62711-7064 · (217) 789-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 28, 2011
Last NPPES UpdateSeptember 9, 2015
✔ NPI 1225305881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-004213
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2801 MATHERS RD, Springfield, IL 62711

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

Kristin R. Buss Pa-c 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 ID3577720895
PECOS Enrollment IDI20180914001162
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 5

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.
37 services36 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.
27 services26 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.
25 services25 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
15 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440197
Location391 Wallace RdNashville, TN 37211 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 5

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

Internal Medicine
2801 MATHERS RD
SPRINGFIELD, IL 62711
Internal Medicine
2801 MATHERS RD
SPRINGFIELD, IL 62711
Nurse Practitioner (Family)
2801 MATHERS RD
SPRINGFIELD, IL 62711
Nurse Practitioner
2801 MATHERS RD
SPRINGFIELD, IL 62711
Internal Medicine
2801 MATHERS RD
SPRINGFIELD, IL 62711

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 Kristin Buss's NPI number?

The NPI number for Kristin Buss is 1225305881. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Kristin Buss located?

Kristin Buss practices at 2801 Mathers Rd, Springfield, IL 62711. The listed phone number is (217) 789-3600.

What is Kristin Buss's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristin Buss enrolled in Medicare?

Yes. Kristin Buss 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 Kristin Buss accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kristin Buss 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 Kristin Buss affiliated with any hospitals?

According to CMS data, Kristin Buss is affiliated with Sumner Regional Medical Center, Ascension Saint Thomas Hospital, Tristar Centennial Medical Center and Tristar Southern Hills Medical Center.

When was this NPI record last updated?

The NPPES record for Kristin Buss was last updated on September 9, 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.