KENNETH V BUSBY (B.S. / B.A.) – Physician Assistant, NPI 1508830423
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for KENNETH V BUSBY (B.S. / B.A.)
55, West Tietan Street, Walla Walla, Walla Walla County, Washington, 99362, United States
WALLA WALLA, WA 993624445
Phone: (509) 525-3720
Fax: (509) 522-1592
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: 2006-03-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060308000269 | I | Physician Assistant | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,610 | 413 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,142 | 784 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 728 | 553 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 455 | 375 | $0 |
| 96900 | Application of ultraviolet light to skin | 368 | 11 | $0 |
Insurance plans in this area (ZIP 99362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| - | CA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | FL | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
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