JORGE C BUSSE MD
NPI 1922091248
Internal Medicine - Nephrology in Miami, FL

Q: What is Jorge Busse's NPI number?

The NPI number for Jorge Busse is 1922091248. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Jorge Busse's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Busse was last updated on March 7, 2023. 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.

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment

88.86/100

CMS Quality Rating

9193 SUNSET DR, SUITE 200, MIAMI, FL 33173(305) 273-9377(305) 273-9388 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Jul 18, 2017 (2 updates tracked since 2017).

On this page

About Jorge C Busse Md NPPES

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

JORGE C BUSSE MD (NPI 1922091248) is an individual nephrology provider in Miami, Florida, licensed in Florida (ME0043751) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mariners Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1922091248

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJORGE C BUSSECredential: MD

Location Address9193 SUNSET DR, SUITE 200Miami, FL 33173-3487

Mailing Address9193 Sunset Dr, Suite 200Miami, FL 33173-3487 · (305) 273-9377 · Fax (305) 273-9388

Phone(305) 273-9377

Fax(305) 273-9388

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateAugust 23, 2005

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1922091248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · ME0043751

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

9193 SUNSET DR, Miami, FL 33173

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Other Identifiers 4

Other1701238FL · Cigna

Other000360FL · Nhp

Medicaid063809900FL

Other209172FL · Avmed

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare and more.Insurance ›

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

Jorge C Busse 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 ID6709787393

PECOS Enrollment IDI20100520000903

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 Reassignment

Medicare enrollment records show Jorge Busse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates Of South Miami PA

0.6 mi

Nephrology

9193 SUNSET DR, SUITE 200
Miami, FL 33173

Reassigned Medicare billing, Florida enrollment
12 clinicians in this Medicare group

NPI 1811943434 (305) 273-9377

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 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.

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.

304 services164 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.

38 services38 patients

Hospital Affiliations CMS Care Compare

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

Mariners Hospital

Critical Access Hospitals · Tavernier, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101313

Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

88.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.85

Promoting Interoperability

Improvement Activities

Cost

48.01

Reported Quality Measures

Controlling High Blood Pressure

85%345 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

32%169 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

62%1,796 patients2/55-star benchmark: 100%

e-Prescribing

98%600 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

45%726 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

26%235 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 314 patients

97%314 patients

Provide Patients Electronic Access to Their Health Information

68%329 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

93%304 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 596 patients

Patients totalRate: 1% · 596 patients

1%596 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 2

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers22 claims1,230 services$0.29 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers19 claims19 services$12.57 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 11

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

MR. HUGO GREGORIO GARCIA MD

Internal Medicine (Cardiovascular Disease)

9193 SUNSET DR, SUITE 210
MIAMI, FL 33173

Miami-Dade County (305) 595-5558

GARCIA & PASTORIZA PA

Internal Medicine (Cardiovascular Disease)

9193 SUNSET DR, SUITE 210
MIAMI, FL 33173

Miami-Dade County (305) 595-5558

CLAREMEDICA SPECIALTY NETWORK OF FLORIDA LLC

Internal Medicine (Interventional Cardiology)

9193 SUNSET DR
MIAMI, FL 33173

Miami-Dade County (305) 595-5558

GASPAR A BARRETO TORRELLA MD

Internal Medicine (Nephrology)

9193 SUNSET DR, SUITE 200
MIAMI, FL 33173

Miami-Dade County (305) 273-9377

MR. JORGE PASTORIZA MD

Internal Medicine (Cardiovascular Disease)

9193 SUNSET DR, SUITE 210
MIAMI, FL 33173

Miami-Dade County (305) 595-5558

FERNANDO C TRESPALACIOS MD

Internal Medicine (Nephrology)

9193 SUNSET DR, SUITE 200
MIAMI, FL 33173

Miami-Dade County (305) 273-9377

MRS. BERNICE DEL CARMEN ACEVEDO-MARCANO M.D,

Internal Medicine (Nephrology)

9193 SUNSET DR, 200
MIAMI, FL 33173

Miami-Dade County (305) 273-9377

NEPHROLOGY ASSOCIATES OF SOUTH MIAMI PA

Internal Medicine (Nephrology)

9193 SUNSET DR, SUITE 200
MIAMI, FL 33173

Miami-Dade County (305) 273-9377

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 Jorge Busse's NPI number?

The NPI number for Jorge Busse is 1922091248. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Jorge Busse located?

Jorge Busse practices at 9193 Sunset Dr Suite 200, Miami, FL 33173. The listed phone number is (305) 273-9377.

What is Jorge Busse's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jorge Busse enrolled in Medicare?

Yes. Jorge Busse 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 organization bills Medicare for Jorge Busse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Busse reassigns Medicare benefits to Nephrology Associates Of South Miami PA (Miami, FL). The 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 Jorge Busse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jorge Busse accept?

Health plans from AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Jorge Busse 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 Jorge Busse affiliated with any hospitals?

According to CMS data, Jorge Busse is affiliated with Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Jorge Busse was last updated on March 7, 2023. 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.