2026 NPPES data Pulmonary Disease Physician NPI 1942215405 MD
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Helen Busby, MD

Pulmonary Disease Physician in Albuquerque, New Mexico. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
217
Medicare Part D claims · 36 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.2/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Helen Busby, MD reported a CMS MIPS final score of 85.2/100 - above the 83.1 national average - and filed 217 Medicare Part D claims in 2023.

85.2/100
MIPS score · +2 vs avg
217
Part D claims, 2023
52%
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.

Helen Busby, MD's MIPS score vs every scored U.S. clinician

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

85 49th percentile higher than 49% 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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 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

Where Helen Busby, MD sits

This provider among pulmonary disease physician peers

Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Helen Busby, MD writes more Part D claims than 18% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 40Helen Busby, MD-Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Helen Busby, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Helen Busby, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Helen Busby, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/30/2006

NPI 1942215405

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

217 85% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

85.2/100 2.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Pulmonary Disease Physician compares to other specialties among New Mexico providers

New Mexico providers

Largest specialties in New Mexico (% of in-state providers)

Behavior Technician - 9.5%Behavior Technician9.5%Case Manager/Care Coordinator - 6.3%Case Manager/Care Coordinator6.3%Mental Health Counselor - 5.1%Mental Health Counselor5.1%Student in an Organized Health Care Education/Training Program - 3.9%Student in an Organized Health Care Education/Training Program3.9%Counselor - 3.8%Counselor3.8%Clinical Social Worker - 3.8%Clinical Social Worker3.8%Pulmonary Disease Physician - 0.1%Pulmonary Disease Physician0.1%
Largest specialties in New Mexico (% of in-state providers)

Medicare quality performance, MIPS

Helen Busby, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
85.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) - 85.2/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Pulmonary Disease Physician) - 85.2/100 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).

Helen Busby, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 5TH AMBULATORY CARE CTR, Albuquerque, NM, 87131, with a listed phone of (505) 272-3840. NPI 1942215405 was issued on 07/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Busby 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 217 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $783K in drug spend, split 48% brand-name and 52% generic by claim count. 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 85.2/100 for the 2023 performance year (Quality 81, Cost 57.1), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

5TH AMBULATORY CARE CTR
Albuquerque, NM 87131

Provider Details

NPI 1942215405
Specialty Pulmonary Disease Physician
Credentials MD
Gender Female
NPI Issued 07/30/2006

CMS Quality Score (MIPS)

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

85.1802
Final Score
Avg: 83.1
81.0056
Quality
57.0846
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Above average

Helen Busby, MD - brand share 48.0%
Pulmonary Disease Physician average

48% brand-name claims vs 52% generic, on 217 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.

217
Total Claims
$783K
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
283
Total Day Supply
8,384
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$710K
Generic Drug Cost
$72K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
2.44
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What Helen Busby, MD 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
Opsumit
Macitentan
34
Sildenafil Citrate
20
Adempas
Riociguat
17
Tadalafil
15
Furosemide
14
Spiriva Respimat
Tiotropium Bromide
14
Potassium Chloride
11
Symbicort
Budesonide/Formoterol Fumarate
11

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

Pulmonary Disease Physician Overview

How Helen Busby, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

Helen Busby, MD's 217 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Busby.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New Mexico medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Helen Busby, MD's specialty?
Helen Busby, MD specializes in Pulmonary Disease Physician and practices in Albuquerque, New Mexico. Credentials: MD.
How much does Helen Busby, MD prescribe under Medicare Part D?
In 2023, Helen Busby, MD wrote 217 Medicare Part D claims totaling $783K in drug costs for 36 beneficiaries.
What is Helen Busby, MD's Medicare quality score?
Helen Busby, MD has a CMS MIPS Final Score of 85.2/100 (Quality: 81, Cost: 57.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Helen Busby, MD located?
Helen Busby, MD is located at 5TH AMBULATORY CARE CTR, Albuquerque, NM, 87131. Phone: (505) 272-3840.
What is Helen Busby, MD's NPI number?
Helen Busby, MD's National Provider Identifier (NPI) is 1942215405, issued on 07/30/2006.
Does Helen Busby, MD prescribe more brand-name or generic drugs?
Helen Busby, MD's prescribing is 48% brand-name and 52% generic drugs by claim count, with $710K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Helen Busby, MD prescribe most often?
Based on 2023 Medicare Part D data, Helen Busby, MD's most frequently prescribed drugs include Opsumit, Sildenafil Citrate, Adempas. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Helen Busby, MD accept Medicare?
Helen Busby, MD appears in CMS Medicare data with 217 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Helen Busby, MD's credentials?
Helen Busby, MD's NPI is 1942215405 with credentials MD. 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

Compiled from official public sources by the PlainDoctor editorial team.