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JAMES DAVID BUSCHBACH MD
NPI 1619474764
Orthopaedic Surgery in Oak Lawn, IL

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
6700 W 95TH ST, OAK LAWN, IL 60453(708) 974-7330(708) 974-7372 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2024, Jun 4, 2024, Apr 2, 2023 (3 updates tracked since 2023).

About James David Buschbach Md NPPES

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

JAMES DAVID BUSCHBACH MD (NPI 1619474764) is an individual orthopaedic surgery provider in Oak Lawn, Illinois, licensed in Illinois (036168625) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1619474764
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES DAVID BUSCHBACHCredential: MD
Location Address6700 W 95TH STOak Lawn, IL 60453-2199
Mailing Address603 Hamilton PkwySyracuse, NY 13214-2312
Phone(708) 974-7330
Fax(708) 974-7372
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1619474764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036168625
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

6700 W 95TH ST, Oak Lawn, IL 60453
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Secondary Practice Location 1

Location 12450 Riverside Ave # R200Minneapolis, MN 55454-1450 · Phone (612) 273-7951

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

James David Buschbach Md 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 ID2264779693
PECOS Enrollment IDI20240722001302
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
104 services19 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
26 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 6

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

ALFRED S GUIRGUIS D.O.
Obstetrics & Gynecology (Gynecologic Oncology)
6700 W 95TH ST, SUITE 330
OAK LAWN, IL 60453
Cook County (708) 422-3242
MRS. HANAN ELSHAFEI
Pharmacist
6700 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 598-5000
XPRESS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
6700 W 95TH ST, SUITE 150
OAK LAWN, IL 60453
Cook County (708) 598-5000
RYAN SARKA
Physician Assistant
6700 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 974-7600
JOSELYN MARIE PENA PA-C
Physician Assistant
6700 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 974-7600
CINTYA LOPEZ
Physical Therapist
6700 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 974-7625

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 James Buschbach's NPI number?

The NPI number for James Buschbach is 1619474764. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is James Buschbach located?

James Buschbach practices at 6700 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 974-7330.

What is James Buschbach's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Buschbach enrolled in Medicare?

Yes. James Buschbach 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 James Buschbach accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list James Buschbach 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 James Buschbach affiliated with any hospitals?

According to CMS data, James Buschbach is affiliated with Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for James Buschbach was last updated on July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.