TIMOTHY F BUSIAN (DO) – Family Medicine Physician, NPI 1124316930

TIMOTHY F BUSIAN (DO) is a healthcare provider. based in Alexandria, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 55230 (MN). The NPI Number for TIMOTHY F BUSIAN (DO) is 1124316930

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY F BUSIAN (DO)
NPI
1124316930
Phone
(320) 763-5123
Address
610 30TH AVE W
Enumeration Date
13 July 2011
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
3207635123
Graduation Year
2011 (15 years ago)
PAC ID
1052560679
Group Practice PAC ID
9931690047
Professional Enrollment ID
I20120925000649
Address ID
MN563083426AL610XXWXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

Provider Addresses for TIMOTHY F BUSIAN (DO)

  • 610 30TH AVE W

    ALEXANDRIA, MN 563083426

    Phone: (320) 763-5123

    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)

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: 2024-02-05 • Largest payer in this snapshot: Inari Medical, 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

2024-02-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, 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: 2012-09-25

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
I20120925000649IFamily PracticeMNTBD

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 minutes269176$0
99213Established patient office or other outpatient visit, 20-29 minutes185146$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit141141$0
99441Telephone medical discussion with physician, 5-10 minutes1919$0
20610Aspiration and/or injection of fluid from large joint1411$0
View full utilization report →

Insurance plans in this area (ZIP 56308)

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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: 9931690047View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Internal MedicineMN
O B S T E T R I C S/ G Y N E C O L O G YMN
H O S P I T A L I S TMN
Emergency MedicineMI
Emergency MedicineMN
Emergency MedicineMN
U R O L O G YMN
Physician AssistantMN
Emergency MedicineMN

Reviews

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Frequently asked questions

How is TIMOTHY F BUSIAN (DO) identified in CMS data?
CMS-hosted NPPES data lists TIMOTHY F BUSIAN (DO) with NPI 1124316930.
Is TIMOTHY F BUSIAN (DO) still practicing?
TIMOTHY F BUSIAN (DO) is currently listed as active in the public NPI registry.
What is TIMOTHY F BUSIAN (DO)'s primary classification?
Family Medicine Physician is the headline specialty for TIMOTHY F BUSIAN (DO) here. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY F BUSIAN (DO) based?
TIMOTHY F BUSIAN (DO) is tied to Alexandria, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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