DR. SHEENA MARIE WILLISON BUSKIRK DO
NPI 1396273520
Family Medicine in Cumberland, MD

Q: What is Sheena Buskirk's NPI number?

The NPI number for Sheena Buskirk is 1396273520. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Q: What is Sheena Buskirk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheena Buskirk was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 01, 2017PECOS EnrolledAccepts Medicare Assignment

86.92/100

CMS Quality Rating

12502 WILLOWBROOK RD, CUMBERLAND, MD 21502(240) 964-8921(240) 964-8922 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Jul 21, 2022, Apr 13, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Sheena Marie Willison Buskirk Do NPPES

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

DR. SHEENA MARIE WILLISON BUSKIRK DO (NPI 1396273520) is an individual family medicine provider in Cumberland, Maryland, licensed in Maryland (H88754) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and maintains a secondary practice location in Frostburg.

NPPES Registry Identity

NPI1396273520

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHEENA MARIE WILLISON BUSKIRKCredential: DO

Location Address12502 WILLOWBROOK RDCumberland, MD 21502-6491

Mailing AddressPo Box 1671Cumberland, MD 21501-1671 · (240) 964-8342 · Fax (240) 964-8337

Phone(240) 964-8921

Fax(240) 964-8922

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017

Enumeration DateJune 1, 2017

Last NPPES UpdateJune 13, 20234 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1396273520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · H88754

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT017960 (PA)

12502 WILLOWBROOK RD, Cumberland, MD 21502

Open in Google Maps ↗

Secondary Practice Location 1

Location 110701 New Georges Creek Rd SWFrostburg, MD 21532-1457 · Phone (301) 689-3229 · Fax (301) 689-1129

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Sheena Marie Willison Buskirk Do 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 ID2264702117

PECOS Enrollment IDI20200415000815

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 18

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.

616 services327 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.

195 services195 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

110 services21 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

79 services19 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.

78 services72 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

75 services60 patients

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.

70 services60 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

54 services52 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.

53 services50 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

48 services48 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.

42 services42 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

41 services41 patients

Hemoglobin a1c level, by device for home use 83037

A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.

35 services31 patients

Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) 90715

The Diphtheria, Tetanus, and Acellular Pertussis vaccine, also known as Tdap, is an immunization given to protect against three serious diseases. It's recommended for those aged 7 or older. The vaccine stimulates your body to build defenses against these infections, promoting overall health.

30 services30 patients

Influenza vaccine, quadrivalent derived from recombinant dna 90682

The quadrivalent influenza vaccine, made through recombinant DNA technology, is a flu shot that protects against four different flu viruses. This vaccine is produced by genetically modifying a virus, making it safer and more effective. It's a key tool in preventing flu-related illnesses.

23 services23 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

16 services16 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

14 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511315

Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

86.92/100

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

Scored as part of a group practice

Quality

70.08

Promoting Interoperability

100

Improvement Activities

Cost

80.8

Referred Medical Equipment & Supplies CMS DME claims 9

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

6 suppliers11 claims38 services$6.73 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier13 claims26 services$2.28 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

1 supplier11 claims11 services$17.13 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers16 claims17 services$4.80 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

2 suppliers35 claims35 services$92.81 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARK F. WILT P. A.

Physician Assistant

12502 WILLOWBROOK RD, SUITE 470
CUMBERLAND, MD 21502

Allegany County (240) 964-8724

SHANNON SPRENKLE CRNP

Nurse Practitioner

12502 WILLOWBROOK RD, SUITE 280
CUMBERLAND, MD 21502

Allegany County (240) 964-8750

KRISTEN DAWN EWING PA-C

Physician Assistant (Medical)

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-8740

JACOB MULLAN FNP

Nurse Practitioner

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-8944

WESTERN MARYLAND HEALTH SYSTEM CORPORATION

Dietitian, Registered

12502 WILLOWBROOK RD, SUITE 300
CUMBERLAND, MD 21502

Allegany County (240) 964-8342

CARMEN RACHAL REGISTERED DIETITIAN

Dietitian, Registered

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-2310

EMILY TEETS NP

Nurse Practitioner

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-7000

JEAN H RUIZ NP

Nurse Practitioner (Psychiatric/Mental Health)

12502 WILLOWBROOK RD, STE 380
CUMBERLAND, MD 21502

Allegany County (240) 964-8585

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 Sheena Buskirk's NPI number?

The NPI number for Sheena Buskirk is 1396273520. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Sheena Buskirk located?

Sheena Buskirk practices at 12502 Willowbrook Rd, Cumberland, MD 21502. The listed phone number is (240) 964-8921.

What is Sheena Buskirk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sheena Buskirk enrolled in Medicare?

Yes. Sheena Buskirk 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 Sheena Buskirk accept?

Health plans from CareSource list Sheena Buskirk 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 Sheena Buskirk affiliated with any hospitals?

According to CMS data, Sheena Buskirk is affiliated with Western Maryland Regional Medical Center, West Virginia University Hospitals, Inc and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Sheena Buskirk was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.