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DR. ROBERT JOHN BUSCH DMD MD
NPI 1467669762
Dentist - Oral and Maxillofacial Surgery in Peoria, IL

Active since May 17, 2007Opted out of Medicare · through Aug 18, 2027
2807 N KNOXVILLE AVE, PEORIA, IL 61604(309) 682-1213(309) 682-1213 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert John Busch Dmd Md NPPES

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

DR. ROBERT JOHN BUSCH DMD MD (NPI 1467669762) is an individual oral and maxillofacial surgery provider in Peoria, Illinois, licensed in Texas (0021934) and active in the NPI registry since May 2007. He has opted out of Medicare through August 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467669762
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ROBERT JOHN BUSCHCredential: DMD MD
Location Address2807 N KNOXVILLE AVEPeoria, IL 61604-2869
Mailing Address2807 N Knoxville AvePeoria, IL 61604-2869 · (309) 682-1213 · Fax (309) 682-1213
Phone(309) 682-1213
Fax(309) 682-1213
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 12, 2015
✔ NPI 1467669762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 0021934
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10028831 (TX)
2807 N KNOXVILLE AVE, Peoria, IL 61604
Open in Google Maps ↗

Other Identifiers 6

Other1467669762TX · Blue Cross Blue Shield
OtherBP10028831TX · Physician In Training
Medicaid177585010TX
Medicaid177585009TX
Medicare PINTXB105096TX
Other21934TX · Tx Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Robert John Busch Dmd Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 18, 2015 through August 18, 2027.

Opt-Out Effective DateAugust 18, 2015
Opt-Out In Effect ThroughAugust 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61604 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 3

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

ELAINE D MERITT
Registered Nurse (Women's Health Care, Ambulatory)
2807 N KNOXVILLE AVE
PEORIA, IL 61604
Peoria County (309) 966-3862
LARRY D OTTE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
2807 N KNOXVILLE AVE
PEORIA, IL 61604
Peoria County (309) 682-1213
DR. JAMES WILLIS PLEDGER II D.D.S
Dentist (Oral and Maxillofacial Surgery)
2807 N KNOXVILLE AVE
PEORIA, IL 61604
Peoria County (309) 682-1213

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 Robert Busch's NPI number?

The NPI number for Robert Busch is 1467669762. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Robert Busch located?

Robert Busch practices at 2807 N Knoxville Ave, Peoria, IL 61604. The listed phone number is (309) 682-1213.

What is Robert Busch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Robert Busch enrolled in Medicare?

No. Robert Busch has opted out of Medicare through August 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Robert Busch accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Robert Busch 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 Robert Busch was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.