KENNETH V BUSBY B.S. / B.A.
NPI 1508830423
Physician Assistant in Walla Walla, WA

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
55 W TIETAN ST, WALLA WALLA, WA 99362(509) 525-3720(509) 525-4691 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth V Busby B.s. / B.a. NPPES

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

KENNETH V BUSBY B.S. / B.A. (NPI 1508830423) is an individual physician assistant in Walla Walla, Washington, licensed in Washington (PA10004990) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1508830423
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH V BUSBYCredential: B.S. / B.A.
Location Address55 W TIETAN STWalla Walla, WA 99362-4445
Mailing Address55 W Tietan StWalla Walla, WA 99362-4445 · (509) 525-3720 · Fax (509) 522-1592
Fax(509) 525-4691
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 15, 2006
Last NPPES UpdateNovember 27, 2007
NPI 1508830423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10004990
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

55 W TIETAN ST, Walla Walla, WA 99362

Other Identifiers 5

Medicare UPINS88074WA
Medicare PING8858978WA
OtherP00290212WA · Rail Road Medicare
Medicaid8444994WA
Other0205798WA · L&i

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

Kenneth V Busby B.s. / B.a. 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 ID7214944701
PECOS Enrollment IDI20060308000269
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 20

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,598 services429 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.
1,155 services812 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
748 services572 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
426 services348 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
420 services347 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.
370 services251 patients

Hospital Affiliations CMS Care Compare

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Physician Assistant (Medical)
55 W TIETAN ST
WALLA WALLA, WA 99362
Family Medicine (Adult Medicine)
55 W TIETAN ST
WALLA WALLA, WA 99362
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Audiologist
55 W TIETAN ST
WALLA WALLA, WA 99362
Physical Therapist
55 W TIETAN ST
WALLA WALLA, WA 99362

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 Kenneth Busby's NPI number?

The NPI number for Kenneth Busby is 1508830423. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Kenneth Busby located?

Kenneth Busby practices at 55 W Tietan St, Walla Walla, WA 99362. The listed phone number is (509) 525-3720.

What is Kenneth Busby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Busby enrolled in Medicare?

Yes. Kenneth 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 Kenneth Busby accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kenneth 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 Kenneth Busby affiliated with any hospitals?

According to CMS data, Kenneth Busby is affiliated with Providence St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Busby was last updated on November 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.