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DR. BESA BUSHATI M.D.,
NPI 1295911121
Internal Medicine in Milford, MA

Active since January 09, 2008PECOS EnrolledAccepts Medicare Assignment
176 WEST ST, MILFORD, MA 01757(508) 634-5026(508) 634-5055 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Besa Bushati M.d., NPPES

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

DR. BESA BUSHATI M.D., (NPI 1295911121) is an individual internal medicine provider in Milford, Massachusetts, licensed in Massachusetts (237191) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1295911121
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. BESA BUSHATICredential: M.D.,
Location Address176 WEST STMilford, MA 01757-2236
Mailing Address630 Plantation St, Wot 12th FlWorcester, MA 01605-2038 · (508) 852-0600
Phone(508) 634-5026
Fax(508) 634-5055
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 9, 2008
Last NPPES UpdateDecember 11, 2012
✔ NPI 1295911121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 237191
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT187195 (PA)
176 WEST ST, Milford, MA 01757
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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. Besa Bushati 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 ID5092873950
PECOS Enrollment IDI20081021000527
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 7

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.
81 services57 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.
76 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 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.
23 services20 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01757 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims70 services$5.39 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$32.56 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$70.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims35 services$27.41 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims64 services$1.75 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.

ALLISON JEAN GLASIER
Counselor (Addiction (Substance Use Disorder))
176 WEST ST
MILFORD, MA 01757
Worcester County (508) 529-7000
MS. LISA JEAN ANTONIO LMHC
Counselor (Mental Health)
176 WEST ST
MILFORD, MA 01757
Worcester County (508) 634-3420
MR. ZACHARY PIERCE
Social Worker (Clinical)
176 WEST ST
MILFORD, MA 01757
Worcester County (508) 529-7000
COLLEEN WHITE
Counselor (Mental Health)
176 WEST ST
MILFORD, MA 01757
Worcester County (978) 263-1358
MS. KATE FRIEDMAN BOCK LICSW
Social Worker
176 WEST ST
MILFORD, MA 01757
Worcester County (617) 816-8524
MR. AUSTIN ALBERT LOCHAN DODD MSW, LCSW
Social Worker
176 WEST ST
MILFORD, MA 01757
Worcester County (508) 634-3420
QUEST DIAGNOSTICS MASSACHUSETTS LLC
Clinical Medical Laboratory
176 WEST ST
MILFORD, MA 01757
Worcester County (508) 634-5050
CRISTINA ALEXANDRA CRUZ-THOMPSON MS
Counselor (Mental Health)
176 WEST ST
MILFORD, MA 01757
Worcester County (508) 529-7000

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 Besa Bushati's NPI number?

The NPI number for Besa Bushati is 1295911121. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Besa Bushati located?

Besa Bushati practices at 176 West St, Milford, MA 01757. The listed phone number is (508) 634-5026.

What is Besa Bushati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Besa Bushati enrolled in Medicare?

Yes. Besa Bushati 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 Besa Bushati accept?

Health plans from Anthem Blue Cross and Blue Shield list Besa Bushati 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 Besa Bushati affiliated with any hospitals?

According to CMS data, Besa Bushati is affiliated with Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Besa Bushati was last updated on December 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.