SCOTT BUSSOM P.A.
NPI 1306008230
Physician Assistant - Surgical in Stuart, FL

Q: What is Scott Bussom's NPI number?

The NPI number for Scott Bussom is 1306008230. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Q: What is Scott Bussom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Scott Bussom was last updated on April 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

1050 SE MONTEREY RD STE 400, STUART, FL 34994(772) 288-2400 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Scott Bussom P.a. NPPES

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

SCOTT BUSSOM P.A. (NPI 1306008230) is an individual surgical provider in Stuart, Florida, licensed in Florida (PA9114250) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306008230

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameSCOTT BUSSOMCredential: P.A.

Location Address1050 SE MONTEREY RD STE 400Stuart, FL 34994-4512

Mailing Address60 Old New Milford Rd Ste 3eBrookfield, CT 06804-2414 · (203) 775-6205 · Fax (203) 775-2373

Phone(772) 288-2400

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 1, 2008

Last NPPES UpdateApril 1, 2021

NPPES CertifiedApril 1, 2021

✔ NPI 1306008230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9114250

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2964 (CT)

1050 SE MONTEREY RD STE 400, Stuart, FL 34994

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Secondary Practice Locations 2

Location 19401 SW Discovery Way Ste 201Port Saint Lucie, FL 34987-2381 · Phone (772) 288-2400

Location 260 Old New Milford Rd Ste 3EBrookfield, CT 06804-2414 · Phone (203) 775-6205 ext. 18 · Fax (203) 775-2373

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Scott Bussom P.a. 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 ID941436505

PECOS Enrollment IDI20210414000392

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 8

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.

53 services53 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

32 services30 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.

26 services26 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.

19 services16 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

18 services18 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100044

Location200 SE Hospital AveStuart, FL 34994 · Martin County

Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100260

Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie 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.

89.89/100

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

Scored through an Alternative Payment Model

Quality

75.75

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

MICHAEL JENKINS

Physician Assistant