HELEN BUSBY MD
NPI 1942215405
Internal Medicine - Pulmonary Disease in Albuquerque, NM

Active since July 30, 2006PECOS Enrolled
85.18/100
CMS Quality Rating
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131(505) 272-3840 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2024, Oct 24, 2023 (2 updates tracked since 2023).

About Helen Busby Md NPPES

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

HELEN BUSBY MD (NPI 1942215405) is an individual pulmonary disease provider in Albuquerque, New Mexico, licensed in New Mexico (94-22) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942215405
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameHELEN BUSBYCredential: MD
Location Address5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NEAlbuquerque, NM 87131-0001
Mailing Address2211 Lomas Blvd Ne, Msc10 5550Albuquerque, NM 87131-0001 · (505) 272-3840
Sole ProprietorNo
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
NPI 1942215405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NM · 94-22
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
5TH AMBULATORY CARE CTR, Albuquerque, NM 87131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Helen Busby Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

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 suppliers20 claims21 services$83.00 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.

Internal Medicine
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Infectious Disease)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Registered Nurse (Gastroenterology)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Cardiovascular Disease)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Cardiovascular Disease)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Infectious Disease)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131
Internal Medicine (Nephrology)
5TH AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131

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 Helen Busby's NPI number?

The NPI number for Helen Busby is 1942215405. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Helen Busby located?

Helen Busby practices at 5th Ambulatory Care Ctr 2211 Lomas Blvd. NE, Albuquerque, NM 87131. The listed phone number is (505) 272-3840.

What is Helen Busby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Helen Busby enrolled in Medicare?

Yes. Helen Busby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Helen Busby was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.