DR. PETER DONALD BUSSELBERG M.D.
NPI 1558567974
Radiology - Diagnostic Radiology in Saint Louis Park, MN

Active since June 22, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
5775 WAYZATA BLVD., SUITE 190, SAINT LOUIS PARK, MN 55416(952) 541-1840 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Donald Busselberg M.d. NPPES

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

DR. PETER DONALD BUSSELBERG M.D. (NPI 1558567974) is an individual diagnostic radiology provider in Saint Louis Park, Minnesota, licensed in Minnesota (56283) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Sioux Falls Specialty Hospital, and is a graduate of Medical College Of Wisconsin (2006).

NPPES Registry Identity

NPI1558567974
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PETER DONALD BUSSELBERGCredential: M.D.
Location Address5775 WAYZATA BLVD., SUITE 190Saint Louis Park, MN 55416-2627
Mailing AddressPo Box 1450 Nw 6035Minneapolis, MN 55485-6035 · (952) 542-8553
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2006
Enumeration DateJune 22, 2007
Last NPPES UpdateMay 22, 2013
NPI 1558567974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MN · 56283 Licensed in PA · MT189143
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5775 WAYZATA BLVD., Saint Louis Park, MN 55416

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. Peter Donald Busselberg 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 ID1355598418
PECOS Enrollment IDI20130624000630
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 37

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, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
21,711 services127 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
10,730 services197 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
5,595 services58 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,770 services130 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
191 services191 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
122 services112 patients

Hospital Affiliations CMS Care Compare

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

Sioux Falls Specialty Hospital

Acute Care Hospitals · Sioux Falls, SD
OwnershipProprietary
CMS Certification Number430090
Location910 East 20th StreetSioux Falls, SD 57105 · Minnehaha County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 2

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

Radiology (Diagnostic Radiology)
5775 WAYZATA BLVD., SUITE 190
SAINT LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BLVD., SUITE 190
SAINT LOUIS PARK, MN 55416

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 Peter Busselberg's NPI number?

The NPI number for Peter Busselberg is 1558567974. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Peter Busselberg located?

Peter Busselberg practices at 5775 Wayzata Blvd. Suite 190, Saint Louis Park, MN 55416. The listed phone number is (952) 541-1840.

What is Peter Busselberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Peter Busselberg enrolled in Medicare?

Yes. Peter Busselberg 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 Peter Busselberg accept?

Health plans from Avera Health Plans and Sanford Health Plan list Peter Busselberg 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 Peter Busselberg affiliated with any hospitals?

According to CMS data, Peter Busselberg is affiliated with Sioux Falls Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Peter Busselberg was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.