Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MIGUEL A BUSQUETS M.D.
NPI 1427054808
Ophthalmology - Retina Specialist in Lexington, KY

Q: What is Miguel Busquets's NPI number?

The NPI number for Miguel Busquets is 1427054808. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Miguel Busquets's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Busquets was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 22, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

120 N EAGLE CREEK DR STE 500, LEXINGTON, KY 40509(859) 263-3900(859) 263-3757 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, May 14, 2026, Dec 13, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Miguel A Busquets M.d. NPPES

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

DR. MIGUEL A BUSQUETS M.D. (NPI 1427054808) is an individual retina specialist in Lexington, Kentucky, licensed in Kentucky (53305) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1427054808

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. MIGUEL A BUSQUETSCredential: M.D.

Location Address120 N EAGLE CREEK DR STE 500Lexington, KY 40509-1802

Mailing Address120 N Eagle Creek Dr Ste 500Lexington, KY 40509-1802 · (859) 263-3900 · Fax (859) 263-3757

Phone(859) 263-3900

Fax(859) 263-3757

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1996

Enumeration DateJune 22, 2005

Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1427054808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in KY · 53305

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 35.155570 (OH), MD073712L (PA)

120 N EAGLE CREEK DR STE 500, Lexington, KY 40509

Open in Google Maps ↗

Secondary Practice Locations 8

Location 1580 S Loop Rd Ste 200Edgewood, KY 41017-3415 · Phone (859) 331-9000

Location 23310 Mercy Health Blvd Ste 220Cincinnati, OH 45211-1120 · Phone (513) 984-5133

Location 35850 Innovation DrMiddletown, OH 45005-5188 · Phone (513) 425-9796

Location 4222 Piedmont Ave Ste 4000Cincinnati, OH 45219-4239 · Phone (513) 654-2299

Location 5601 Ivy Gtwy Ste 301Cincinnati, OH 45245-1899 · Phone (513) 782-9010

Location 66150 Radio WayMason, OH 45040-4520 · Phone (513) 770-4020

Location 79997 Carver Rd Ste 200Blue Ash, OH 45242-0245 · Phone (513) 984-5133 · Fax (513) 984-4240

Location 8563 Wessel DrFairfield, OH 45014-3668 · Phone (513) 858-6500

Other Identifiers 14

Other13336PA · Elder Health

Other157513PA · Health America/assurance

Other000000126899PA · Unison Health Plan

Other1359578PA · Highmark

Other180043679PA · Railroad Medicare

Other7787147PA · Aetna Commercial

Medicaid0018573240009PA

OtherBU052981PA · Umwa

Other251100359004PA · Pgba Tricare

Other2734395PA · Aetna Hmo

Medicaid0018573240001PA

Other1525741PA · Gateway Health Plan

Other157513PA · Advantra

Other309810PA · Upmc Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Miguel A Busquets 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 ID1658476395

PECOS Enrollment IDI20100226000084, I20191212003067, I20260410002639

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 Reassignments

Medicare enrollment records show Miguel Busquets reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina And Vitreous Associates Of Kentucky PLLC

Same address

Retina Specialist

120 N EAGLE CREEK DR, STE 500
Lexington, KY 40509

Reassigned Medicare billing, Kentucky and West Virginia enrollments
16 clinicians in this Medicare group

NPI 1619949971 (859) 263-3900

Cei Physicians Psc LLC

70 mi

Ophthalmology

580 S LOOP RD, SUITE 200
Edgewood, KY 41017

Reassigned Medicare billing, Kentucky and Ohio enrollments
Also billed through NPI 1942296298 (Ohio)
41 clinicians in this Medicare group

NPI 1033108592 (859) 331-9000

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

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

10,320 services40 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,908 services192 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,889 services609 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,221 services288 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.

631 services358 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.

210 services167 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

133 services11 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.

128 services128 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

91 services66 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

71 services26 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

46 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 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.

21 services16 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

17 services17 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

15 services14 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

13 services11 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

13 services13 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY

OwnershipProprietary

CMS Certification Number180101

Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

STEPHEN GBEJULE ODAIBO MD

Ophthalmology (Retina Specialist)