DR. ANTHONY J BUSCAGLIA MD, FCCP
NPI 1265579536
Internal Medicine - Pulmonary Disease in Buffalo, NY
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
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 Kenmore Mercy 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
Other Identifiers 3
Medicare PINCC5976NY
Medicare UPINB71535NY
Medicaid00604595NY
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. 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.
Areas of Expertise CMS Part B claims 9
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, 30-39 minutes 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.
200 services140 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.
117 services115 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.
116 services114 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.
75 services73 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
48 services48 patients
Initial hospital inpatient care per day, typically 70 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.
29 services27 patients
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kenmore Mercy Hospital
Acute Care Hospitals · Kenmore, NYOwnershipVoluntary 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, NYOwnershipVoluntary 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, NYOwnershipVoluntary 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
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 receives or retrieves and incorporates into the patient's record an…
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
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.
Psychiatry & Neurology (Neurology)
515 ABBOTT RD, STE 400
BUFFALO, NY 14220
BUFFALO, NY 14220
Nurse Practitioner (Obstetrics & Gynecology)
515 ABBOTT RD, STE 304
BUFFALO, NY 14220
BUFFALO, NY 14220
Nurse Practitioner (Adult Health)
515 ABBOTT RD, SUITE 306
BUFFALO, NY 14220
BUFFALO, NY 14220
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265579536, enumerated as an "individual" on January 30, 2007.
The provider is located at 515 ABBOTT RD SUITE 102 BUFFALO, NY 14220 and the phone number is (716) 824-0266.
Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Anthony Buscaglia is affiliated with: KENMORE MERCY HOSPITAL, MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER and MERCY HOSPITAL OF BUFFALO.
