DR. PERRY JOSEPH BUSHONG II D.D.S.
NPI 1992069728
Dentist - General Practice in San Antonio, TX

Q: What is Perry Bushong's NPI number?

The NPI number for Perry Bushong is 1992069728. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Perry Bushong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Perry Bushong was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 26, 2012PECOS Enrolled

4 DOMINION DR BLDG 5-250, SAN ANTONIO, TX 78257(210) 687-1150(210) 687-1120 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Perry Joseph Bushong Ii D.d.s. NPPES

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

DR. PERRY JOSEPH BUSHONG II D.D.S. (NPI 1992069728) is an individual general practice provider in San Antonio, Texas, licensed in Texas (27959) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992069728

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PERRY JOSEPH BUSHONG IICredential: D.D.S.

Location Address4 DOMINION DR BLDG 5-250San Antonio, TX 78257-1405

Mailing Address4 Dominion Dr Bldg 5-250San Antonio, TX 78257-1405 · (210) 687-1150 · Fax (210) 687-1120

Phone(210) 687-1150

Fax(210) 687-1120

Sole ProprietorNo

Enumeration DateJune 26, 2012

Last NPPES UpdateDecember 24, 2020

NPPES CertifiedDecember 24, 2020

✔ NPI 1992069728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 27959

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 DOMINION DR BLDG 5-250, San Antonio, TX 78257

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. Perry Joseph Bushong Ii D.d.s. 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 78257 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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 Perry Bushong's NPI number?

The NPI number for Perry Bushong is 1992069728. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Perry Bushong located?

Perry Bushong practices at 4 Dominion Dr Bldg 5-250, San Antonio, TX 78257. The listed phone number is (210) 687-1150.

What is Perry Bushong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Perry Bushong enrolled in Medicare?

Yes. Perry Bushong is registered in the Medicare PECOS enrollment system.

What insurance does Perry Bushong accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Perry Bushong 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.

When was this NPI record last updated?

The NPPES record for Perry Bushong was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.