JORDAN S BUSCH (M.D.) – Internal Medicine Physician, NPI 1033158563

JORDAN S BUSCH (M.D.) is a healthcare provider. based in Wellesley, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 71352 (MA). The NPI Number for JORDAN S BUSCH (M.D.) is 1033158563

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN S BUSCH (M.D.)
NPI
1033158563
Phone
(617) 731-0058
Address
110 WORCESTER ST
Enumeration Date
6 June 2006
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177310058
Graduation Year
1987 (39 years ago)
PAC ID
0547231797
Group Practice PAC ID
7012988264
Professional Enrollment ID
I20050406000614
Address ID
MA024813634WE110XXSTXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for JORDAN S BUSCH (M.D.)

  • 110 WORCESTER ST

    SUITE 301

    WELLESLEY, MA 02481

    Phone: (617) 731-0058

    Fax: (617) 731-0825

    Type: Mailing

  • Boylston Street, Chestnut Hill, Newton, Middlesex County, Massachusetts, 02467, United States

    CHESTNUT HILL, MA 024672116

    Phone: (617) 731-0058

    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 $0.

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

Last reported payment date: • Largest payer in this snapshot: REBISCAN ($0).

Total Amount

$0

General + Research + Ownership

Payments

1

Total payment records

General Amount

$0

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

1

Ownership records

Last Payment Date

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
REBISCAN$0
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: 2005-04-06

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
I20050406000614IInternal MedicineMATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes100100$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report8382$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4747$0
90662Influenza vaccine split virus, preservative free4141$0
G0008Administration of influenza virus vaccine4141$0
View full utilization report →

Insurance plans in this area (ZIP 02481)

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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: 7012988264View full group profile
NameSpecialtyState
Nephrology, Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA

Reviews

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Frequently asked questions

Where can patients find JORDAN S BUSCH (M.D.)'s NPI?
You can confirm JORDAN S BUSCH (M.D.) with NPI 1033158563; it appears in the national provider directory.
Is JORDAN S BUSCH (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JORDAN S BUSCH (M.D.) treat or focus on?
Patients typically see JORDAN S BUSCH (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JORDAN S BUSCH (M.D.)?
The snapshot lists Wellesley, Massachusetts for JORDAN S BUSCH (M.D.); download NPPES for the complete set.
What if Wellesley, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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