Individual provider Active NPI

Eric Steven Busby, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New Bedford, MA
National Provider Identifier
1649473836
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1486 Issued in MA
Practice address
119 Coggeshall St
New Bedford, MA 02746-2443
Phone
(508) 990-1900
Fax
(508) 990-1929
NPI assigned
Jun 6, 2007
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1486 MA Primary

Addresses

Primary practice location

119 Coggeshall St
New Bedford, MA 02746-2443

Mailing address

30 Earls CT
Rochester, MA 02770-2025
Phone (508) 679-7685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000166 MA Practitioner - Physician Assistant 7012941198 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Primary Care GroupGroup PAC ID 5991187775, 4 clinicians

Practice addresses (Care Compare)

1151 Robeson St
Suite 201
Fall River, MA 02720-5543

1151 Robeson St
Suite 201
Fall River, MA 02720-5566
Phone (508) 730-1666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.71 of 100Reported as group
Quality
56.09
Improvement activities
40
Cost
79.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1486MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Massachusetts, PC CurrentSince Aug 10, 2019 Accepting new patients
Afc Physicians of Massachusetts CurrentSince Aug 10, 2019 Accepting new patients
Obstetrical Associates Inc PastSince Jul 24, 2022 Accepting new patients

Locations

370 Providence Hwy
Dedham, MA 02026
Phone (781) 461-0200

119 Coggeshall St
New Bedford, MA 02746
Phone (508) 235-5339

371 Broadway
Saugus, MA 01906
Phone (781) 233-1000

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

117 Stafford St
Ste A
Worcester, MA 01603
Phone (508) 755-4010

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1649473836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EARLS CT",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027702025",
            "telephone_number": "508-679-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 COGGESHALL ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027462443",
            "telephone_number": "508-990-1900",
            "fax_number": "508-990-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "ERIC",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.