JOSEPH J BUSCH JR. MD
NPI 1720009335
Radiology - Diagnostic Radiology in Chattanooga, TN
NPI Status: Active since July 21, 2006
Contact Information
1604 GUNBARREL RD
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 893-7226
Fax: (423) 893-7398
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
- Medicare Quality Reporting
About JOSEPH BUSCH
This page provides the complete NPI Profile along with additional information for Joseph Busch, a provider established in Chattanooga, Tennessee with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1720009335 assigned on July 2006. The practitioner's primary taxonomy code is 2085R0202X with license number MD9477 (TN). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1720009335
- Provider Name
- JOSEPH J BUSCH JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1604 GUNBARREL RD CHATTANOOGA, TN 37421
- Location Phone
- (423) 893-7226
- Location Fax
- (423) 893-7398
- Mailing Address
- 1604 GUNBARREL RD CHATTANOOGA, TN 37421
- Mailing Phone
- (423) 648-2395
- Mailing Fax
- (423) 893-7398
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-21-2006
- Last Update Date
- 06-25-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Joseph Busch opted out of Medicare effective on 10-01-2020 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD9477
- License State
- TN
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 017780 (GA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2000243 | OTHER (01) | TN | BCBS OF TN |
| 204004 | OTHER (01) | GA | BCBS OF GA |
| 151204 | OTHER (01) | GA | BCBS OF GA |
| 4072997 | OTHER (01) | TN | BCBS OF TN |
| 3805945 | MEDICAID (05) | TN | |
| 000278465 | MEDICAID (05) | GA | |
| 000248465 | MEDICAID (05) | GA |
Medicare Participation & PECOS Enrollment Status
Joseph Busch is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2020
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37421 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.01
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Improved Practices that Engage Patients Pre-Visit | Yes | N/A |
| Implementation of workflow changes that engage patients prior to the visit, such as a pre-visit development of a shared visit agenda with the patient, or targeted pre-visit laboratory testing that will be resulted and available to the MIPS eligible clinician to review and discuss during the patient’s appointment.. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 0 | 9 | 3 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 0 | 18 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 0 + 1 + 8 + 3 + 6 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1720009335 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245325752 | CHUNG YUEN LIU MD Individual | Obstetrics & Gynecology (Gynecology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 899-6511 |
| 1730290768 | DR. ALFREDO NIEVES GONZALEZ MD Individual | Obstetrics & Gynecology (Gynecology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 899-1165 |
| 1003238973 | INSTITUTE FOR WOMEN'S ADVANCED HEALTHCARE Organization | Clinic/Center (Health Service) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 899-6511 |
| 1811964554 | SCOTT R. KEMMERER MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1437170180 | GRANT W HUNTZINGER MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1548281298 | BRETT L AUSTIN MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1912928532 | JOHN F NELSON MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1134195134 | ANDREW E KREEK JR. MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1225031461 | VARALAXMI S DASARI MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1285654210 | JAMES M BUSCH MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1285862235 | DR. CAMERON HERSCHEL GATES JR. D.O. Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1326033820 | DR. GREGORY J LAWLER M.D. Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1326069089 | GARTH D MCPHERSON MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1427071430 | DIAGNOSTIC RADIOLOGY CONSULTANTS PA Organization | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1508887175 | LAWRENCE J SAMUELS MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1548289507 | PRIME IMAGING, LLC Organization | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1609053198 | DR. WYTHE WYNDHAM OWENS III M.D. Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1770849556 | COURTNEY JOEL FREY MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
| 1932122843 | JAMES E MORROW MD Individual | Radiology (Diagnostic Radiology) | 1604 GUNBARREL RD CHATTANOOGA, TN 37421 (423) 893-7226 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720009335, enumerated in the NPI registry as an "individual" on July 21, 2006
The provider is located at 1604 Gunbarrel Rd Chattanooga, Tn 37421 and the phone number is (423) 893-7226
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Alliant Health Plans, Inc., BlueCross BlueShield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.53 with an average copayment of $20.38 for new patient appointments. Established patients should expect a typical charge of $66.01 and an average copayment of 16.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on October 01, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2026.
This NPI record was last updated on July 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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