DR. CAROLYN KO BUSBY O.D.
NPI 1497874697
Optometrist - Corneal and Contact Management in New York, NY

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
506 MALCOLM X BLVD, RON BROWN BUILDING, 4TH FL, NEW YORK, NY 10037(212) 939-8210(212) 939-3843 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carolyn Ko Busby O.d. NPPES

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

DR. CAROLYN KO BUSBY O.D. (NPI 1497874697) is an individual corneal and contact management provider in New York, New York, licensed in New York (T 0064-01) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Harlem Hospital Center, and is a graduate of State University Of New York - State College Optometry (2001).

NPPES Registry Identity

NPI1497874697
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameDR. CAROLYN KO BUSBYCredential: O.D.
Location Address506 MALCOLM X BLVD, RON BROWN BUILDING, 4TH FLNew York, NY 10037-1802
Mailing Address97 E Church StBergenfield, NJ 07621-1827 · (201) 244-5488 · Fax (212) 939-3843
Fax(212) 939-3843
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2001
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1497874697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in NY · T 0064-01
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
506 MALCOLM X BLVD, New York, NY 10037

Accepted 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. Carolyn Ko Busby O.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 ID3173888039
PECOS Enrollment IDI20180823000099
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 3

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.

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.
45 services28 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
38 services23 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
31 services23 patients

Hospital Affiliations CMS Care Compare

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

Harlem Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330240
Location506 Lenox AvenueNew York, NY 10037 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10037 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

90.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.51
Promoting Interoperability100
Improvement Activities40
Cost69.8

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.

Anesthesiology
506 MALCOLM X BLVD
NEW YORK, NY 10037
Occupational Therapist
506 MALCOLM X BLVD
NEW YORK, NY 10037
Anesthesiology
506 MALCOLM X BLVD, WP 522
NEW YORK, NY 10037
General Acute Care Hospital
506 MALCOLM X BLVD, WOMEN PAVILION BLG., RM 364
NEW YORK, NY 10037
Pharmacist (Oncology)
506 MALCOLM X BLVD
NEW YORK, NY 10037
Obstetrics & Gynecology (Gynecology)
506 MALCOLM X BLVD, WP 522
NEW YORK, NY 10037
Psychiatry & Neurology (Psychiatry)
506 MALCOLM X BLVD, WP-522
NEW YORK, NY 10037
Surgery
506 MALCOLM X BLVD, WP-522
NEW YORK, NY 10037

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 Carolyn Busby's NPI number?

The NPI number for Carolyn Busby is 1497874697. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Carolyn Busby located?

Carolyn Busby practices at 506 Malcolm X Blvd Ron Brown Building, 4th Fl, New York, NY 10037. The listed phone number is (212) 939-8210.

What is Carolyn Busby's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Carolyn Busby enrolled in Medicare?

Yes. Carolyn Busby 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 Carolyn Busby accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Carolyn Busby 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 Carolyn Busby affiliated with any hospitals?

According to CMS data, Carolyn Busby is affiliated with Harlem Hospital Center.

When was this NPI record last updated?

The NPPES record for Carolyn Busby was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.