KEVIN WAYNE BUSDIECKER (AA) – Anesthesiologist Assistant, NPI 1528073004

KEVIN WAYNE BUSDIECKER (AA) is a healthcare provider. based in Cleveland, Ohio. specializing in Anesthesiologist Assistant. They hold the professional credentials AA. They hold a License No. 67-000036 (OH). The NPI Number for KEVIN WAYNE BUSDIECKER (AA) is 1528073004

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN WAYNE BUSDIECKER (AA)
NPI
1528073004
Phone
(216) 778-5790
Address
2500 METRO HEALTH DRIVE
Enumeration Date
31 July 2006
Last Update Date
21 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2166745230
Graduation Year
1980 (46 years ago)
PAC ID
0345345005
Group Practice PAC ID
7113830050
Professional Enrollment ID
I20070425000338
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KEVIN WAYNE BUSDIECKER (AA)

  • 2500 METRO HEALTH DRIVE

    CLEVELAND, OH 44109

    Phone: (216) 778-5790

    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: 2007-04-25

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
I20070425000338IAnesthesiology AssistantOHTBD

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
00142Anesthesia for lens surgery163156$0
00145Anesthesia for retinal surgery118109$0
View full utilization report →

Insurance plans in this area (ZIP 44109)

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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: 7113830050View full group profile

Reviews

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Frequently asked questions

Where can patients find KEVIN WAYNE BUSDIECKER (AA)'s NPI?
You can confirm KEVIN WAYNE BUSDIECKER (AA) with NPI 1528073004; it appears in the national provider directory.
Is KEVIN WAYNE BUSDIECKER (AA) currently active in the NPI registry?
CMS-published data lists KEVIN WAYNE BUSDIECKER (AA) as an active registrant.
Can you summarize KEVIN WAYNE BUSDIECKER (AA)'s specialty in plain language?
Clinically, the directory lists KEVIN WAYNE BUSDIECKER (AA) with Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where is KEVIN WAYNE BUSDIECKER (AA)'s primary listing?
We display Cleveland, Ohio because that is what the record indicates for KEVIN WAYNE BUSDIECKER (AA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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