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DOLORES BUSCEMI M.D.
NPI 1841288099
Internal Medicine in Lubbock, TX

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3601 4TH ST, LUBBOCK, TX 79430(806) 743-3150(806) 743-3148 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2022, Mar 17, 2016 (2 updates tracked since 2016).

About Dolores Buscemi M.d. NPPES

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

DOLORES BUSCEMI M.D. (NPI 1841288099) is an individual internal medicine provider in Lubbock, Texas, licensed in Texas (J4016) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1992).

NPPES Registry Identity

NPI1841288099
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDOLORES BUSCEMICredential: M.D.
Location Address3601 4TH STLubbock, TX 79430-9410
Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2898 · Fax (806) 743-2787
Phone(806) 743-3150
Fax(806) 743-3148
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1992
Enumeration DateOctober 12, 2005
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1841288099 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 · J4016
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.
3601 4TH ST, Lubbock, TX 79430
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Other Identifiers 11

Medicaid109605101TX
Medicaid86429NM
Other86E871TX · Blue Cross/blue Shield
MedicaidW0205NM
Medicaid100204050AOK
Other109605100TX · Firstcare Commercial
Medicaid131875004TX
Other86429NM · Presbyterian Commercial
Other80734ZTX · Hmo Blue
Medicaid131875003TX
OtherA070TX · Triwest

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dolores Buscemi 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 ID42214108
PECOS Enrollment IDI20060831000445
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 9

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 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.
86 services55 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.
75 services35 patients
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.
69 services60 patients
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.
39 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 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.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers35 claims35 services$16.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers35 claims35 services$85.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers23 claims23 services$178.85 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.

JAMES STEVEN DEMBOWSKI PHD
Speech-Language Pathologist
3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430
Lubbock County (806) 743-5678
CHARLES KIM D.O.
Anesthesiology
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3004
BAILEY WADDINGTON MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-6840
SARA SYED AHMED MD
Psychiatry & Neurology (Psychiatry)
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-2800
DR. SAFAA S. LABIB M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430
Lubbock County (806) 743-2155
MATTHEW PAUL FERGUSON M.D.
Orthopaedic Surgery (Sports Medicine)
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-2475
KORY NOEL HOWELL DO
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3381
JANICE STACHOWIAK M.D.
Internal Medicine
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3150

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 Dolores Buscemi's NPI number?

The NPI number for Dolores Buscemi is 1841288099. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Dolores Buscemi located?

Dolores Buscemi practices at 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 743-3150.

What is Dolores Buscemi's specialty?

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

Is Dolores Buscemi enrolled in Medicare?

Yes. Dolores Buscemi 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 Dolores Buscemi accept?

Health plans from Blue Cross and Blue Shield of Texas list Dolores Buscemi 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 Dolores Buscemi affiliated with any hospitals?

According to CMS data, Dolores Buscemi is affiliated with Covenant Medical Center and University Medical Center.

When was this NPI record last updated?

The NPPES record for Dolores Buscemi was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.