Individual provider Active NPI

Mark S Buseck, MD

  • Orthopaedic Surgery Physician
  • Erie, PA
National Provider Identifier
1194789396
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD043604E Issued in PA
Practice address
2315 Myrtle St Ste L10
Erie, PA 16502-4611
Phone
(814) 454-2401
Fax
(814) 459-5992
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD043604E PA Primary

Addresses

Primary practice location

2315 Myrtle St Ste L10
Erie, PA 16502-4611

Mailing address

2315 Myrtle St Ste L10
Erie, PA 16502-4611
Phone (814) 454-2401

Other identifiers 2

IdentifierTypeStateIssuer
000464978OtherPAHIGHMARK
0011694340001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbuseck148735@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000431 PA Practitioner - Orthopedic Surgery 3274504907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, 750 clinicians

Practice addresses (Care Compare)

2315 Myrtle St
Suite L10
Erie, PA 16502-4611
Phone (814) 454-2401

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Hospital & facility affiliations

  • Visiting Nurse Association of Erie County Home health agency, Erie, PA, CCN 397034
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD043604EPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince May 11, 2015 Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 22, 2012 Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 22, 2012 Accepting new patients
Emergycare, Inc PastSince Nov 10, 2009 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

1645 W 8th St
Erie, PA 16505
Phone (814) 875-8700

2315 Myrtle St
Ste L10
Erie, PA 16502
Phone (814) 454-2401

204 W 26th St
Erie, PA 16508
Phone (814) 454-2401

Interoperability endpoints

  • Direct secure messaging: mbuseck148735@direct.ahn.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Vincent Medical GroupCorry, PA, CCN 393889 Rural health clinic Corporate Director Oct 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1194789396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L10",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024611",
            "telephone_number": "814-454-2401",
            "fax_number": "814-459-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L10",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024611",
            "telephone_number": "814-454-2401",
            "fax_number": "814-459-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSECK",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD043604E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000464978",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011694340001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbuseck148735@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2315 Myrtle St Ste L10",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165024611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.