THOMAS EDWARD BUSIC PMHNP-BC
NPI 1417887183
Nurse Practitioner - Psychiatric/Mental Health in Pineville, KY

Active since May 22, 2026PECOS Enrolled
222 W TENNESSEE AVE, PINEVILLE, KY 40977(606) 654-6210(606) 654-6220 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Edward Busic Pmhnp-bc NPPES

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

THOMAS EDWARD BUSIC PMHNP-BC (NPI 1417887183) is an individual psychiatric/mental health provider in Pineville, Kentucky, licensed in Kentucky (4058361) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1417887183
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHOMAS EDWARD BUSICCredential: PMHNP-BC
Location Address222 W TENNESSEE AVEPineville, KY 40977-1737
Mailing Address222 W Tennessee AvePineville, KY 40977-1737 · (606) 654-6210 · Fax (606) 654-6220
Fax(606) 654-6220
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 22, 2026
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1417887183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4058361
222 W TENNESSEE AVE, Pineville, KY 40977

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Edward Busic Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395201073
PECOS Enrollment IDI20260803001003
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 Reassignment

Medicare enrollment records show Thomas Busic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
222 W TENNESSEE AVE
Pineville, KY 40977
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40977 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
222 W TENNESSEE AVE
PINEVILLE, KY 40977
Clinic/Center (Rural Health)
222 W TENNESSEE AVE
PINEVILLE, KY 40977
Internal Medicine
222 W TENNESSEE AVE
PINEVILLE, KY 40977
Nurse Practitioner (Psychiatric/Mental Health)
222 W TENNESSEE AVE
PINEVILLE, KY 40977

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 Thomas Busic's NPI number?

The NPI number for Thomas Busic is 1417887183. It was assigned to this individual provider in the NPPES registry on May 22, 2026.

Where is Thomas Busic located?

Thomas Busic practices at 222 W Tennessee Ave, Pineville, KY 40977. The listed phone number is (606) 654-6210.

What is Thomas Busic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Thomas Busic enrolled in Medicare?

Yes. Thomas Busic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Busic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Busic reassigns Medicare benefits to Southeast Family Practice Psc (Pineville, KY). The 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 Thomas Busic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Busic accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Busic 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.

When was this NPI record last updated?

The NPPES record for Thomas Busic was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.