JOHANNA BUSCH
NPI 1518320498
Internal Medicine in Austin, TX

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1500 RED RIVER ST, AUSTIN, TX 78701(512) 324-7863 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2019, Mar 30, 2016 (2 updates tracked since 2016).

About Johanna Busch NPPES

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

JOHANNA BUSCH (NPI 1518320498) is an individual internal medicine provider in Austin, Texas, licensed in Texas (S0435) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1518320498
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJOHANNA BUSCH
Location Address1500 RED RIVER STAustin, TX 78701-1918
Mailing Address1500 Red River StAustin, TX 78701-1918
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration
NPI 1518320498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · S0435
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1500 RED RIVER ST, Austin, TX 78701

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

Johanna Busch 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 ID6901132984
PECOS Enrollment IDI20190729003229
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

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.

Psychiatry & Neurology (Neurology)
1500 RED RIVER ST
AUSTIN, TX 78701
Pharmacist
1500 RED RIVER ST
AUSTIN, TX 78701
Nurse Practitioner (Family)
1500 RED RIVER ST
AUSTIN, TX 78701
Psychiatry & Neurology (Neurology)
1500 RED RIVER ST
AUSTIN, TX 78701
Surgery
1500 RED RIVER ST
AUSTIN, TX 78701
Emergency Medicine
1500 RED RIVER ST
AUSTIN, TX 78701
Psychiatry & Neurology (Psychiatry)
1500 RED RIVER ST
AUSTIN, TX 78701
Physician Assistant
1500 RED RIVER ST
AUSTIN, TX 78701

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 Johanna Busch's NPI number?

The NPI number for Johanna Busch is 1518320498. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Johanna Busch located?

Johanna Busch practices at 1500 Red River St, Austin, TX 78701. The listed phone number is (512) 324-7863.

What is Johanna Busch's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Johanna Busch enrolled in Medicare?

Yes. Johanna Busch 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 Johanna Busch accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Johanna 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.

Is Johanna Busch affiliated with any hospitals?

According to CMS data, Johanna Busch is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Johanna Busch was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.