SCOTT BUSSOM (P.A.) – Orthopaedic Surgery Physician, NPI 1306008230

SCOTT BUSSOM (P.A.) is a healthcare provider. based in Brookfield, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 2964 (CT). The NPI Number for SCOTT BUSSOM (P.A.) is 1306008230

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT BUSSOM (P.A.)
NPI
1306008230
Phone
(203) 775-6205
Address
60 Old New Milford Rd Ste 3E
Enumeration Date
1 July 2008
Last Update Date
1 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
0941436505
Group Practice PAC ID
6406838895
Professional Enrollment ID
I20210414000392
Address ID
FL349944512ST1050XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for SCOTT BUSSOM (P.A.)

  • 60 Old New Milford Rd Ste 3E

    Brookfield, CT 068042414

    Phone: (203) 775-6205

    Fax: (203) 775-2373

    Type: Location

  • 9401 SW Discovery Way Ste 201

    Port Saint Lucie, FL 349872381

    Phone: (772) 288-2400

    Type: Location

  • Old New Milford Road, Brookfield, Fairfield County, Connecticut, 06804, United States

    BROOKFIELD, CT 068042414

    Phone: (203) 775-6205

    Fax: (203) 775-2373

    Type: Location

  • 1050 SE MONTEREY RD STE 400

    STUART, FL 349944512

    Phone: (772) 288-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Miach Orthopaedics, Inc. ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Miach Orthopaedics, Inc.$150
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210414000392IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3636$0
27447Replacement of knee joint, both sides of knee3231$0
27236Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement1515$0
29826Shaving of part of shoulder bone and repair of ligament using an endoscope1515$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 06804)

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Provider's Procedures

SCOTT BUSSOM (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCT20610Aspiration and/or injection of large joint or joint capsule2722
PHYSICIAN ASSISTANTCT27447Repair of knee joint3030

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406838895View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physician AssistantFL
Pain ManagementFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryMA
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL

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Frequently asked questions

Can I use this page to confirm SCOTT BUSSOM (P.A.)'s NPI?
Yes. SCOTT BUSSOM (P.A.) is listed with NPI 1306008230 in the public NPI dataset.
Does the file indicate SCOTT BUSSOM (P.A.) is practicing under active NPI?
Directory data currently reports SCOTT BUSSOM (P.A.) as active.
What taxonomy line describes SCOTT BUSSOM (P.A.)?
For research purposes, treat SCOTT BUSSOM (P.A.) as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SCOTT BUSSOM (P.A.)?
SCOTT BUSSOM (P.A.)'s geographic hint is Brookfield, Connecticut in our summary view.
Is the information about SCOTT BUSSOM (P.A.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."