Andrew Panchenko Bush, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

9500524 Issued in NC

Practice address

1139 Carthage Street
Suite 101
Sanford, NC 27330

Phone

(919) 774-1355

Fax

(919) 774-3395

NPI assigned

Dec 5, 2006

Last updated

May 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Central Carolina Orthopaedic

  • Specialist
  • Sanford, NC
  • NPI 1205024007
  Medicare reassignment NPD Authorized official
• Ankle and Foot Surgical and Podiatry Clinic PA

  • Foot & Ankle Surgery Podiatrist
  • West End, NC
  • NPI 1063648533
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1891853594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3247",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273313247",
            "telephone_number": "919-774-1355",
            "fax_number": "919-775-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 CARTHAGE STREET",
            "address_2": "SUITE 101",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-774-1355",
            "fax_number": "919-774-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "ANDREW",
        "middle_name": "PANCHENKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "9500524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Burd
• Jessica Wright Burgert, MD
• Daniel Burleson, PA-C
• Frank David Burns, COTA
• Key Wesley Burns
• Butler Performance Physical Therapy
• Shannon Butner
• Susan Kay Byerly, MSW LCSW
• Timothy Byers, PTA
• Gwen Clayton Byrd, LPN

• Orthopaedic Surgery Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.

Verify at the official NPI Registry.