ROBERT G. BUSSE (PT) – Physical Therapist, NPI 1710907993

ROBERT G. BUSSE (PT) is a healthcare provider. based in Appleton, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 3258-024 (WI). The NPI Number for ROBERT G. BUSSE (PT) is 1710907993

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT G. BUSSE (PT)
NPI
1710907993
Phone
(920) 257-2009
Address
4000 N PROVIDENCE AVE
Enumeration Date
20 July 2006
Last Update Date
25 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202324040
Graduation Year
1993 (33 years ago)
PAC ID
8426243999
Group Practice PAC ID
9830118033
Professional Enrollment ID
I20101110000067
Address ID
WI549047951OS515XXSTXX401
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

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for ROBERT G. BUSSE (PT)

  • North Providence Avenue, Appleton, Outagamie County, Wisconsin, United States

    APPLETON, WI 549138018

    Phone: (920) 257-2009

    Fax: (920) 257-2004

    Type: Mailing

  • Omro Road, Oshkosh, Winnebago County, Wisconsin, 54904, United States

    OSHKOSH, WI 54904

    Phone: (920) 232-4040

    Fax: (920) 232-4042

    Type: Location

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: 2010-11-10

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
I20101110000067IPhysical Therapist In Private PracticeWITBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23415$0
97140Therapy procedure using manual technique, each 15 minutes19016$0
97530Therapy procedure using functional activities13316$0
97162Evaluation for physical therapy, typically 30 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 54913)

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Provider's Procedures

ROBERT G. BUSSE (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41642

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: 9830118033View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
-WI

Reviews

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Frequently asked questions

What is the 10-digit NPI for ROBERT G. BUSSE (PT)?
ROBERT G. BUSSE (PT) — NPI 1710907993 — is the standard way to identify this listing.
Is ROBERT G. BUSSE (PT) listed as active for patients and plans?
The listing shows ROBERT G. BUSSE (PT) as active in the NPI system.
What taxonomy line describes ROBERT G. BUSSE (PT)?
For research purposes, treat ROBERT G. BUSSE (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is ROBERT G. BUSSE (PT) based?
ROBERT G. BUSSE (PT) is tied to Appleton, Wisconsin 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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