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JOSH BUSCHLING D.O.
NPI 1841654712
Family Medicine in Staunton, IL

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
325 N CALDWELL ST, STAUNTON, IL 62088(618) 635-2221(618) 635-2269 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2020, May 25, 2018, Feb 26, 2018 (3 updates tracked since 2018).

About Josh Buschling D.o. NPPES

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

JOSH BUSCHLING D.O. (NPI 1841654712) is an individual family medicine provider in Staunton, Illinois, licensed in Illinois (036150962) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841654712
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSH BUSCHLINGCredential: D.O.
Location Address325 N CALDWELL STStaunton, IL 62088-1421
Mailing Address400 N Caldwell StStaunton, IL 62088-1173 · (618) 635-2200 · Fax (618) 635-2200
Phone(618) 635-2221
Fax(618) 635-2269
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateApril 6, 20203 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1841654712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036150962✔ Licensed in MO · 2018005678
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
325 N CALDWELL ST, Staunton, IL 62088
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Secondary Practice Locations 2

Location 17900 Lees Summit RdKansas City, MO 64139 · Phone (816) 404-4862 · Fax (816) 404-7716
Location 2400 N Caldwell StStaunton, IL 62088-1173 · Phone (618) 635-2200 · Fax (618) 635-2200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Josh Buschling D.o. 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 ID3577856178
PECOS Enrollment IDI20191114003175
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services27 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62088 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers33 claims69 services$5.26 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$912.94 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.41 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
2 suppliers13 claims13 services$64.66 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.06 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 4

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

COMMUNITY HOSPITAL OF STAUNTON
Clinic/Center (Rural Health)
325 N CALDWELL ST
STAUNTON, IL 62088
Macoupin County (618) 635-2221
DR. EMERITO FERNANDEZ URETA MD
Family Medicine
325 N CALDWELL ST
STAUNTON, IL 62088
Macoupin County (618) 635-2221
AMBER MARIE GEILHAUSEN FNP
Nurse Practitioner (Family)
325 N CALDWELL ST
STAUNTON, IL 62088
Macoupin County (618) 635-2221
MRS. AJIN VARGHESE FNP-C
Nurse Practitioner (Family)
325 N CALDWELL ST
STAUNTON, IL 62088
Macoupin County (618) 635-2221

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 Josh Buschling's NPI number?

The NPI number for Josh Buschling is 1841654712. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Josh Buschling located?

Josh Buschling practices at 325 N Caldwell St, Staunton, IL 62088. The listed phone number is (618) 635-2221.

What is Josh Buschling's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Josh Buschling enrolled in Medicare?

Yes. Josh Buschling 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 Josh Buschling accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Josh Buschling 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 Josh Buschling affiliated with any hospitals?

According to CMS data, Josh Buschling is affiliated with Anderson Hospital, Community Hospital Of Staunton and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Josh Buschling was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.