DR. ANTHONY J BUSCAGLIA MD, FCCP
NPI 1265579536
Internal Medicine - Pulmonary Disease in Buffalo, NY

Q: What is Anthony Buscaglia's NPI number?

The NPI number for Anthony Buscaglia is 1265579536. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Anthony Buscaglia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Buscaglia was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 30, 2007PECOS EnrolledAccepts Medicare Assignment

515 ABBOTT RD, SUITE 102, BUFFALO, NY 14220(716) 824-0266(716) 824-0095 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Anthony J Buscaglia Md, Fccp NPPES

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

DR. ANTHONY J BUSCAGLIA MD, FCCP (NPI 1265579536) is an individual pulmonary disease provider in Buffalo, New York, licensed in New York (112703) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of Creighton University School Of Medicine (1970).

NPPES Registry Identity

NPI1265579536

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. ANTHONY J BUSCAGLIACredential: MD, FCCP

Location Address515 ABBOTT RD, SUITE 102Buffalo, NY 14220-1700

Mailing Address515 Abbott Rd, Suite 102Buffalo, NY 14220-1700 · (716) 824-0266 · Fax (716) 824-0095

Phone(716) 824-0266

Fax(716) 824-0095

Sole ProprietorYes

Medical School CMSCreighton University School Of MedicineGraduated 1970

Enumeration DateJanuary 30, 2007

Last NPPES UpdateApril 9, 2009

✔ NPI 1265579536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NY · 112703

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

515 ABBOTT RD, Buffalo, NY 14220

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Other Identifiers 3

Medicare PINCC5976NY

Medicare UPINB71535NY

Medicaid00604595NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony J Buscaglia Md, Fccp 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 ID9133152218

PECOS Enrollment IDI20050919000372

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Buscaglia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Of Buffalo

0.1 mi

Rehabilitation Unit

565 ABBOTT RD
Buffalo, NY 14220

Reassigned Medicare billing, New York enrollment
499 clinicians in this Medicare group

NPI 1659310605 (716) 826-7000

Trinity Medical Wny PC

4.0 mi

Internal Medicine

144 GENESSE STREET
Buffalo, NY 14203

Reassigned Medicare billing, New York enrollment
332 clinicians in this Medicare group

NPI 1295043149 (716) 206-1503

Sisters Of Charity Hospital Of Buffalo New York

4.8 mi

General Acute Care Hospital

2605 HARLEM RD
Cheektowaga, NY 14225

Reassigned Medicare billing, New York enrollment
515 clinicians in this Medicare group

NPI 1043455199 (716) 891-2400

Kenmore Mercy Hospital

9.5 mi

General Acute Care Hospital

2950 ELMWOOD AVE
Kenmore, NY 14217

Reassigned Medicare billing, New York enrollment
271 clinicians in this Medicare group

NPI 1770598104 (716) 447-6100

Mount St. Mary's Hospital Of Niagara Falls

24 mi

General Acute Care Hospital

5300 MILITARY RD
Lewiston, NY 14092

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Mount St. Marys Hospital Of Niagara Falls
289 clinicians in this Medicare group

NPI 1043394745 (716) 298-2081

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

160 services107 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services17 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

20 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

16 services16 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330078

Location2157 Main StreetBuffalo, NY 14214 · Erie County

Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330102

Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County

Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330188

Location5300 Military RoadLewiston, NY 14092 · Niagara County

Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330279

Location565 Abbott RoadBuffalo, NY 14220 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14220 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Reported Quality Measures

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

1%739 patients1/55-star benchmark: 100%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

20%98 patients1/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

61%1,179 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%890 patients4/55-star benchmark: 100%

Patient-Generated Health Data

Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.

51%643 patients

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

3%643 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

20%633 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 437 patients

Patients tobacco: 96% · 437 patients

65%51 patients3/55-star benchmark: 98%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

24%643 patients1/55-star benchmark: 100%

Request/Accept Summary of Care

15%728 patients1/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

0%643 patients1/55-star benchmark: 75%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

50%371 patients3/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 355 patients

0%355 patients5/55-star benchmark: 100%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

2%643 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers68 claims68 services$33.84 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers64 claims64 services$67.93 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers51 claims146 services$27.22 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers26 claims154 services$15.10 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers16 claims88 services$13.39 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers45 claims45 services$45.20 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers55 claims55 services$15.63 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers30 claims30 services$8.11 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

9 suppliers87 claims514 services$1.85 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

7 suppliers16 claims16 services$4.82 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

8 suppliers39 claims39 services$9.43 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers106 claims108 services$14.33 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$30.93 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$906.13 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers21 claims21 services$10.85 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers19 claims19 services$3.11 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers85 claims85 services$26.93 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers243 claims247 services$69.01 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers95 claims96 services$33.01 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers38 claims4,974 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers61 claims4,547 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

6 suppliers29 claims1,566 services$0.76 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

10 suppliers77 claims77 services$23.71 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.

BARBARA S STOUTER MD

Pediatrics

515 ABBOTT RD, SUITE 304
BUFFALO, NY 14220

Erie County (716) 995-8801

MS. MARCELLA ZYNDA NP

Nurse Practitioner

515 ABBOTT RD
BUFFALO, NY 14220

Erie County (716) 828-3724

SERRIE C. LICO MD, CARDIOVASCULAR & THORACIC SURGERY PC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

515 ABBOTT RD, SUITE 101
BUFFALO, NY 14220

Erie County (716) 821-7714

DR. CHRISTOPHER R SPRINGER MD

Pediatrics

515 ABBOTT RD, SUITE 304
BUFFALO, NY 14220

Erie County (716) 995-8801

STEPHEN W DOWNING MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

515 ABBOTT RD, SUITE 310
BUFFALO, NY 14220

Erie County (716) 923-9650

MICHAEL SANSANO JR MD PC

Ophthalmology

515 ABBOTT RD, SUITE 206
BUFFALO, NY 14220

Erie County (716) 828-3460

BRIAN DARCY MD

Internal Medicine (Cardiovascular Disease)

515 ABBOTT RD
BUFFALO, NY 14220

Erie County (716) 828-2068

MRS. MARCIA ANN WARNER RPH

Pharmacist

515 ABBOTT RD, SUITE 100
BUFFALO, NY 14220

Erie County (716) 823-7374

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 Anthony Buscaglia's NPI number?

The NPI number for Anthony Buscaglia is 1265579536. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Anthony Buscaglia located?

Anthony Buscaglia practices at 515 Abbott Rd Suite 102, Buffalo, NY 14220. The listed phone number is (716) 824-0266.

What is Anthony Buscaglia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Anthony Buscaglia enrolled in Medicare?

Yes. Anthony Buscaglia 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.

Which organizations bill Medicare for Anthony Buscaglia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Buscaglia reassigns Medicare benefits to 5 organizations: Mercy Hospital Of Buffalo (Buffalo, NY), Trinity Medical Wny PC (Buffalo, NY), Sisters Of Charity Hospital Of Buffalo New York (Cheektowaga, NY), Kenmore Mercy Hospital (Kenmore, NY) and Mount St. Mary's Hospital Of Niagara Falls (Lewiston, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Buscaglia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Anthony Buscaglia affiliated with any hospitals?

According to CMS data, Anthony Buscaglia is affiliated with Sisters Of Charity Hospital, Kenmore Mercy Hospital, Mount St. Mary's Hospital & Health Center and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Anthony Buscaglia was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.