DR. BRIAN D BUSCONI M.D.
NPI 1245214493
Orthopaedic Surgery - Sports Medicine in Worcester, MA

Q: What is Brian Busconi's NPI number?

The NPI number for Brian Busconi is 1245214493. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Q: What is Brian Busconi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Brian Busconi was last updated on October 27, 2020. 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.

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

281 LINCOLN ST, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 01605(508) 334-6606(508) 334-5156 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2020, Mar 29, 2016 (2 updates tracked since 2016).

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About Dr. Brian D Busconi M.d. NPPES

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

DR. BRIAN D BUSCONI M.D. (NPI 1245214493) is an individual sports medicine provider in Worcester, Massachusetts, licensed in Massachusetts (77978) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Tufts University School Of Medicine (1989).

NPPES Registry Identity

NPI1245214493

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. BRIAN D BUSCONICredential: M.D.

Location Address281 LINCOLN ST, DEPARTMENT OF ORTHOPEDIC SURGERYWorcester, MA 01605-2138

Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 334-6606

Fax(508) 334-5156

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1989

Enumeration DateDecember 1, 2005

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1245214493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in MA · 77978

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 77978 (MA)

281 LINCOLN ST, Worcester, MA 01605

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Other Identifiers 1

Medicaid110055247AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Brian D Busconi 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 ID9739122854

PECOS Enrollment IDI20050608001151

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 3

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.

20 services16 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.

18 services18 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

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.

97.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.09

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier11 claims11 services$69.57 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.

STACY AILEEN MEULENAERE OTR/L

Occupational Therapist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

RACHEL NOONE PA-C

Physician Assistant

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-6158

DR. THOMAS EVANS M.D.

Emergency Medicine

281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-8015

RAJIV BALASURIYA M.D.

Family Medicine

281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-8015

DR. DANIEL LEE M.D., PHD

Internal Medicine (Medical Oncology)

281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605

Worcester County (508) 334-1131

MEGAN ELIZABETH KLEIN MS, CCC-SLP

Speech-Language Pathologist

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

ANKUR SHAH NARAIN MD

Orthopaedic Surgery

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1955

THOMAS MICHAEL CERVANTES

Plastic Surgery (Surgery of the Hand)

281 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-1000

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 Brian Busconi's NPI number?

The NPI number for Brian Busconi is 1245214493. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Brian Busconi located?

Brian Busconi practices at 281 Lincoln St Department Of Orthopedic Surgery, Worcester, MA 01605. The listed phone number is (508) 334-6606.

What is Brian Busconi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Brian Busconi enrolled in Medicare?

Yes. Brian Busconi 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 Brian Busconi accept?

Health plans from Anthem Blue Cross and Blue Shield list Brian Busconi 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 Brian Busconi affiliated with any hospitals?

According to CMS data, Brian Busconi is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Brian Busconi was last updated on October 27, 2020. 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.