2026 NPPES data Family Medicine Physician NPI 1285998419 D.O.
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ANDREW BUSCEMI, D.O.

Family Medicine Physician in FALLS CHURCH, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 1K beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
61.682/100
▼ 21 pts below national avg 83.1 · [object Object]

What the federal data shows

ANDREW BUSCEMI, D.O. reported a CMS MIPS final score of 61.682/100 — below the 83.1 national average — and filed 2,702 Medicare Part D claims in 2023.

61.682/100
MIPS score · -21 vs avg
3K
Part D claims, 2023
95%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANDREW BUSCEMI, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

62 6th percentile higher than 6% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ANDREW BUSCEMI, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANDREW BUSCEMI, D.O.?

Below national average

NPI registry status

Active

Issued 07/03/2012

NPI 1285998419

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,702 21% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

61.682/100 21.417999999999992% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Virginia

Medicare quality performance — MIPS

ANDREW BUSCEMI, D.O.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
61.682/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 61.682/100 vs national avg 83.1

0%100%National avg83%61.7%
MIPS final score (Family Medicine Physician) — 61.682/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW BUSCEMI, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 502 W BROAD ST STE 2, FALLS CHURCH, VA, 22046, with a listed phone of (571) 421-8431. NPI 1285998419 was issued on 07/03/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUSCEMI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,702 prescription claims written by this provider, covering 1,376 Medicare beneficiaries and totaling roughly $49K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 0.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 61.682/100 for the 2023 performance year (Quality 82.9816, Cost 72.6249), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

502 W BROAD ST STE 2
FALLS CHURCH, VA 22046

Provider Details

NPI 1285998419
Specialty Family Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 07/03/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

61.682
Final Score
Avg: 83.1
82.9816
Quality
72.6249
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREW BUSCEMI, D.O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP
FOREST HILL, MD
GREATER BALTIMORE MEDICAL CENTER INC
PHOENIX, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

ANDREW BUSCEMI, D.O. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 2,702 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,702
Total Claims
$49K
Total Drug Cost
1,376
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,055
Total Day Supply
46,076
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$13K
Generic Drug Cost
$35K
Opioid Claims
18 (0.7% rate)
Antibiotic Claims
986

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
0.99
Gender Split
69% female / 31% male
Age Distribution
<65: 180, 65-74: 673, 75-84: 399, 85+: 124

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANDREW BUSCEMI, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Methylprednisolone
356
Doxycycline Hyclate
332
Fluticasone Propionate
176
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
152
Azithromycin
105
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
103
Prednisone
99
Albuterol Sulfate Hfa
Albuterol Sulfate
92
Amoxicillin
85
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
67

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How ANDREW BUSCEMI, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ANDREW BUSCEMI, D.O.'s 2,702 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as BUSCEMI.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW BUSCEMI, D.O.'s specialty?
ANDREW BUSCEMI, D.O. specializes in Family Medicine Physician and practices in FALLS CHURCH, Virginia. Credentials: D.O..
How much does ANDREW BUSCEMI, D.O. prescribe under Medicare Part D?
In 2023, ANDREW BUSCEMI, D.O. wrote 2,702 Medicare Part D claims totaling $49K in drug costs for 1,376 beneficiaries.
What is ANDREW BUSCEMI, D.O.'s Medicare quality score?
ANDREW BUSCEMI, D.O. has a CMS MIPS Final Score of 61.682/100 (Quality: 82.9816, Cost: 72.6249). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW BUSCEMI, D.O. located?
ANDREW BUSCEMI, D.O. is located at 502 W BROAD ST STE 2, FALLS CHURCH, VA, 22046. Phone: (571) 421-8431.
What is ANDREW BUSCEMI, D.O.'s NPI number?
ANDREW BUSCEMI, D.O.'s National Provider Identifier (NPI) is 1285998419, issued on 07/03/2012.
Does ANDREW BUSCEMI, D.O. prescribe more brand-name or generic drugs?
ANDREW BUSCEMI, D.O.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $13K in brand drug costs.
Does ANDREW BUSCEMI, D.O. prescribe opioids?
Yes, ANDREW BUSCEMI, D.O. had 18 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ANDREW BUSCEMI, D.O. prescribe most often?
Based on 2023 Medicare Part D data, ANDREW BUSCEMI, D.O.'s most frequently prescribed drugs include Methylprednisolone, Doxycycline Hyclate, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW BUSCEMI, D.O. accept Medicare?
ANDREW BUSCEMI, D.O. appears in CMS Medicare data with 2,702 Part D claims and 1,376 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW BUSCEMI, D.O.'s credentials?
ANDREW BUSCEMI, D.O.'s NPI is 1285998419 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology