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KERRI ANNE BUSCAGLIA PA-C
NPI 1902517923
Physician Assistant in Toms River, NJ

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment
85.63/100
CMS Quality Rating
40 BEY LEA RD STE C203, TOMS RIVER, NJ 08753(888) 985-2727 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 14, 2022, Dec 9, 2022 (2 updates tracked since 2022).

About Kerri Anne Buscaglia Pa-c NPPES

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

KERRI ANNE BUSCAGLIA PA-C (NPI 1902517923) is an individual physician assistant in Toms River, New Jersey, licensed in New Jersey (25MP00415200) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Egg Harbor Township, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902517923
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKERRI ANNE BUSCAGLIACredential: PA-C
Location Address40 BEY LEA RD STE C203Toms River, NJ 08753-2974
Mailing Address21 Indian RdManahawkin, NJ 08050-3305 · (732) 221-3934
Phone(888) 985-2727
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 9, 2022
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1902517923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00415200
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
40 BEY LEA RD STE C203, Toms River, NJ 08753
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Secondary Practice Location 1

Location 13100 Hingston Ave Ste 104Egg Harbor Township, NJ 08234-4409 · Phone (888) 985-2727

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Kerri Anne Buscaglia Pa-c 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 ID4981074358
PECOS Enrollment IDI20221228003026
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 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.

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.
586 services260 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
450 services194 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
413 services188 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.
105 services68 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
27 services13 patients
Acupuncture, initial 15 minutes 97810
Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

85.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.8
Promoting Interoperability100
Improvement Activities40
Cost55.67

Other Providers at the Same Location NPPES

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

ADVANCED SPINE AND PAIN LLC
Pain Medicine (Pain Medicine)
40 BEY LEA RD STE C203
TOMS RIVER, NJ 08753
Ocean County (888) 985-2727

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 Kerri Buscaglia's NPI number?

The NPI number for Kerri Buscaglia is 1902517923. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Kerri Buscaglia located?

Kerri Buscaglia practices at 40 Bey Lea Rd Ste C203, Toms River, NJ 08753. The listed phone number is (888) 985-2727.

What is Kerri Buscaglia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kerri Buscaglia enrolled in Medicare?

Yes. Kerri Buscaglia 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.

When was this NPI record last updated?

The NPPES record for Kerri Buscaglia was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.