TERRY W BUSHNELL (DO) – Cardiovascular Disease Physician, NPI 1104824945

TERRY W BUSHNELL (DO) is a healthcare provider. based in Indianapolis, Indiana. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 02001138A (IN). The NPI Number for TERRY W BUSHNELL (DO) is 1104824945

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
TERRY W BUSHNELL (DO)
NPI
1104824945
Phone
Not provided
Address
10330 N MERIDIAN ST # 300
Enumeration Date
13 July 2005
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
8820145238
Group Practice PAC ID
7012047640
Professional Enrollment ID
I20100714000824
Address ID
IN462601317IN250XXSTXX406

Contacts

Secure Messaging
terry.bushnell.1@7598.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

722 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN

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Provider Addresses for TERRY W BUSHNELL (DO)

  • 300 North Meridian, 300, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States

    INDIANAPOLIS, IN 462901024

    Phone:

    Type: Mailing

  • 200, North Lebanon Street, Lebanon, Boone County, Indiana, 46052, United States

    LEBANON, IN 460528611

    Phone: (765) 482-0656

    Type: Location

  • 1310 S LEBANON ST # B

    LEBANON, IN 460522792

    Phone:

    Type: Mailing

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
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: 2010-07-14

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
I20100714000824ICardiovascular Disease (Cardiology)INTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes422278$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report325255$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function192182$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes5749$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4024$0
View full utilization report →

Insurance plans in this area (ZIP 46290)

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Provider's Procedures

TERRY W BUSHNELL (DO) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IN78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies109109

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: 7012047640View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
Pulmonary Disease, Critical Care (Intensivists)IN
General Surgery, Thoracic SurgeryIN
-IN
-NY
Interventional RadiologyIN
-IN
G A S T R O E N T E R O L O G YTX
Nurse PractitionerIN

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Frequently asked questions

What NPI should I save for TERRY W BUSHNELL (DO)?
Save NPI 1104824945 if you need a stable reference for TERRY W BUSHNELL (DO).
Is TERRY W BUSHNELL (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does TERRY W BUSHNELL (DO) treat or focus on?
Patients typically see TERRY W BUSHNELL (DO) under the specialty Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does TERRY W BUSHNELL (DO) practice in Indiana?
You will see Indianapolis, Indiana on file for TERRY W BUSHNELL (DO) alongside any extra practice locations.
What if Indianapolis, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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