C. SHANE BUSSLER (M.D.) – Internal Medicine Physician, NPI 1609879881

C. SHANE BUSSLER (M.D.) is a healthcare provider. based in Gainesville, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 55813 (GA). The NPI Number for C. SHANE BUSSLER (M.D.) is 1609879881

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
C. SHANE BUSSLER (M.D.)
NPI
1609879881
Phone
(770) 536-9864
Address
1240 JESSE JEWELL PKWY SE
Enumeration Date
23 May 2005
Last Update Date
15 April 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7705369864
Graduation Year
2002 (24 years ago)
PAC ID
7012943061
Group Practice PAC ID
1951655737
Professional Enrollment ID
I20050712000472
Address ID
GA305013861GA1240XSEXX505
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for C. SHANE BUSSLER (M.D.)

  • Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States of America

    SUITE 500

    GAINESVILLE, GA 305013862

    Phone: (770) 536-9864

    Fax: (770) 297-5010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-07-12

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
I20050712000472IInternal MedicineGATBD

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
J0897Injection, denosumab, 1 mg1,86018$0
36415Insertion of needle into vein for collection of blood sample951403$0
80053Blood test, comprehensive group of blood chemicals887398$0
99214Established patient office or other outpatient visit, 30-39 minutes884354$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test763396$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Provider's Procedures

C. SHANE BUSSLER (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA90670Pneumococcal vaccine for injection into muscle106106

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: 1951655737View full group profile
NameSpecialtyState
R H E U M A T O L O G YGA
Pulmonary Disease, Critical Care (Intensivists)GA
Nurse PractitionerMD
Pulmonary DiseaseGA
Nurse PractitionerGA
Pulmonary DiseaseGA
Pulmonary DiseaseGA
Physician AssistantGA
-GA
E N D O C R I N O L O G YMS

Reviews

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Frequently asked questions

Can I cross-check C. SHANE BUSSLER (M.D.) using NPI 1609879881?
NPI 1609879881 belongs to C. SHANE BUSSLER (M.D.); compare other details if you need extra assurance.
Would C. SHANE BUSSLER (M.D.) appear as active to a payer?
You can treat C. SHANE BUSSLER (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for C. SHANE BUSSLER (M.D.)?
At a glance, C. SHANE BUSSLER (M.D.) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is C. SHANE BUSSLER (M.D.) associated with Gainesville?
Public fields place C. SHANE BUSSLER (M.D.) around Gainesville, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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