DR. EVAN MICHAEL BUSBY D.M.D.
NPI 1588023816
Dentist - Oral and Maxillofacial Surgery in Jacksonville, FL

Active since February 15, 2016PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
655 W 8TH ST, JACKSONVILLE, FL 32209(713) 444-1612 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2023, Jul 23, 2023, Jul 14, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Evan Michael Busby D.m.d. NPPES

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

DR. EVAN MICHAEL BUSBY D.M.D. (NPI 1588023816) is an individual oral and maxillofacial surgery provider in Jacksonville, Florida, licensed in Florida (DN22674) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1588023816
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. EVAN MICHAEL BUSBYCredential: D.M.D.
Location Address655 W 8TH STJacksonville, FL 32209-6511
Mailing Address655 W 8th StJacksonville, FL 32209-6511 · (713) 444-1612
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateFebruary 15, 2016
Last NPPES UpdateNovember 21, 20236 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1588023816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in FL · DN22674 Licensed in GA · DN122259
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.
655 W 8TH ST, Jacksonville, FL 32209

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. Evan Michael Busby D.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 ID7719265669
PECOS Enrollment IDI20220503001525
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 4

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.

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.
27 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Creation of flap graft to head and/or neck 15733
A flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.
14 services12 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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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
655 W 8TH ST
JACKSONVILLE, FL 32209
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209

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 Evan Busby's NPI number?

The NPI number for Evan Busby is 1588023816. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Where is Evan Busby located?

Evan Busby practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (713) 444-1612.

What is Evan Busby's specialty?

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

Is Evan Busby enrolled in Medicare?

Yes. Evan 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 Evan Busby accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 17 other insurers list Evan 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 Evan Busby affiliated with any hospitals?

According to CMS data, Evan Busby is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Evan Busby was last updated on November 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.