SANDRA J BUSS APRN BC
NPI 1629122700
Nurse Practitioner - Gerontology in Brighton, MA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
11 NEVINS ST, SUITE 401, BRIGHTON, MA 02135(617) 782-7788 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sandra J Buss Aprn Bc NPPES

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

SANDRA J BUSS APRN BC (NPI 1629122700) is an individual gerontology provider in Brighton, Massachusetts, licensed in Massachusetts (116361) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1629122700
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSANDRA J BUSSCredential: APRN BC
Location Address11 NEVINS ST, SUITE 401Brighton, MA 02135-3514
Mailing Address11 Nevins St, Suite 401Brighton, MA 02135-3514 · (617) 782-7788
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJanuary 23, 2007
Last NPPES UpdateOctober 19, 2011
✔ NPI 1629122700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · 116361
11 NEVINS ST, Brighton, MA 02135

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra J Buss Aprn Bc 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 ID9638207368
PECOS Enrollment IDI20100517000483
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sandra Buss reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
83 LITTLEFIELD RD
Newton, MA 02459
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
Internal Medicine
585 LEBANON ST
Melrose, MA 02176
  • Reassigned Medicare billing, Massachusetts enrollment
  • 176 clinicians in this Medicare group
Geriatric Medicine
1 GREAT RD
Acton, MA 01720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 19 clinicians in this Medicare group
Internal Medicine
819 WORCESTER ST STE 3
Springfield, MA 01151
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Ipc Hospitalists Of New England PC
  • 124 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
129 services56 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
105 services50 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
93 services46 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
90 services43 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
31 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
25 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%246 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$48.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
11 NEVINS ST, STE 303
BRIGHTON, MA 02135
Nurse Practitioner (Adult Health)
11 NEVINS ST, SUITE 401
BRIGHTON, MA 02135
Obstetrics & Gynecology
11 NEVINS ST, MOB SUITE 406
BRIGHTON, MA 02135
Orthopaedic Surgery
11 NEVINS ST, SUITE 403
BRIGHTON, MA 02135
Surgery
11 NEVINS ST, STE 201
BRIGHTON, MA 02135
Family Medicine
11 NEVINS ST, SUITE 505
BRIGHTON, MA 02135
Technician/Technologist (Optician)
11 NEVINS ST, ST ELIZABETH'S MEDICAL BLDG. SUITE 205
BRIGHTON, MA 02135
Student in an Organized Health Care Education/Training Program
11 NEVINS ST
BRIGHTON, MA 02135

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 Sandra Buss's NPI number?

The NPI number for Sandra Buss is 1629122700. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Sandra Buss located?

Sandra Buss practices at 11 Nevins St Suite 401, Brighton, MA 02135. The listed phone number is (617) 782-7788.

What is Sandra Buss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sandra Buss enrolled in Medicare?

Yes. Sandra Buss 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.

Which organizations bill Medicare for Sandra Buss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Buss reassigns Medicare benefits to 4 organizations: Senior Healthcare Associates Inc (Newton, MA), Massachusetts Acute Care Specialists PC (Melrose, MA), Jose R. Gutierrez MD PC (Acton, MA) and Ipc Hospitalists Of New England, P.C. (Springfield, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Buss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Buss was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.