NPIMap

Individual provider Active NPI

John Francis Bushta, DPM

  • Podiatrist
  • Peckville, PA
National Provider Identifier
1700818853
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003714L Issued in PA
Practice address
1443 Main St
Peckville, PA 18452-2031
Phone
(570) 489-4784
Fax
(570) 489-4785
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003714L PA Primary

Addresses

Primary practice location

1443 Main St
Peckville, PA 18452-2031

Mailing address

1439 Main St
Peckville, PA 18452-2031
Phone (570) 489-4784

Other practice location 1

5 S Washington Ave
Jermyn, PA 18433-1121
Phone (570) 230-0019

Other identifiers 1

IdentifierTypeStateIssuer
0014503400002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071220000375 PA Practitioner - Podiatry 0840380317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1443 Main St
Peckville, PA 18452-2031
Phone (570) 489-4784

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions50
Removal of nail tissue1168
Removal or shaving of skin growth193
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John F Bushta DPM PC Podiatrist CurrentSince Sep 18, 1995 Accepting new patients
Philip F Horne DPM PC Podiatrist PastSince Dec 10, 2007 Accepting new patients

Locations

1439 Main St
Peckville, PA 18452
Phone (570) 489-4784

Organizations & group practices 3

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1700818853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522031",
            "telephone_number": "570-489-4784",
            "fax_number": "570-489-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522031",
            "telephone_number": "570-489-4784",
            "fax_number": "570-489-4785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Jermyn",
            "state": "PA",
            "postal_code": "184331121",
            "country_code": "US",
            "telephone_number": "570-230-0019",
            "fax_number": "570-230-0013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHTA",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003714L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014503400002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peckville, PA

Sources for this page

Verify at the official NPI Registry.