Active NPI
Adam Anthony Debusk, D.O.
- Neuro-ophthalmology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- OS018142
- Practice address
- 840 Walnut St Ste 930
Philadelphia, PA 19107-5109 - Phone
- (215) 928-3130
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OS018142 | PA | |
| Neuro-ophthalmology Physician | 207WX0109X | OS018142 | PA | Primary |
Addresses
Primary practice location
840 Walnut St Ste 930
Philadelphia, PA 19107-5109
Mailing address
840 Walnut St Ste 930
Philadelphia, PA 19107-5109
Phone (215) 928-3130
Other practice location 1
840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Lincoln Memorial University Medical Department, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1932 Alcoa Hwy
Suite C450
Knoxville, TN 37920-1527
Phone (865) 305-3901
Hospital & facility affiliations
- University Health System, Inc
- Blount Memorial Hospital
- Morristown Hamblen Hospital Association
- Parkwest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 86.23
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4432 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System Inc | Neuro-Ophthalmology | Current | Accepting new patients |
| University Health System, Inc | Current | Accepting new patients | |
| University Health System Inc | Current | Accepting new patients | |
| Knoxville Neurology Specialists, PLLC | Past | Accepting new patients |
Locations
2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960
1932 Alcoa Hwy
Ste 450
Knoxville, TN 37920
Phone (865) 305-5940
1932 Alcoa Hwy
Ste C450
Knoxville, TN 37920
Phone (865) 305-3901
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Neuro-ophthalmology Physician
- Knoxville, TN
- NPI 1396416921
-
- Neurology Physician
- Knoxville, TN
- NPI 1720003338
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508457600000",
"number": "1821359415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 WALNUT ST STE 930",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075109",
"telephone_number": "215-928-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 WALNUT ST STE 930",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075109",
"telephone_number": "215-928-3130"
}
],
"practiceLocations": [
{
"address_1": "840 Walnut St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075109",
"country_code": "US",
"telephone_number": "215-928-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBUSK",
"first_name": "ADAM",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2017-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "OS018142",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "PA",
"license": "OS018142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.