2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1538197074 M.D.
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JEFFREY BUSH, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in BIDDEFORD, Maine. 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
291
Medicare Part D claims · 172 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$580.08
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JEFFREY BUSH, M.D. is a Adult Reconstructive Orthopaedic Surgery Physician ([object Object]) practicing in BIDDEFORD, Maine with a Medicare Part D prescribing footprint of 291 claims across 172 beneficiaries . Their CMS MIPS Final Score of 98.0699/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $580.08 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JEFFREY BUSH, M.D. reported a CMS MIPS final score of 98.0699 out of 100, above the 83.1 national average, and filed 291 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JEFFREY BUSH, M.D. 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).

JEFFREY BUSH, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/30/2006

NPI 1538197074

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

291 41% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Maine providers

Maine providers

Adult Reconstructive Orthopaedic Surgery Physician share within Maine

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within Maine

Medicare quality performance — MIPS

JEFFREY BUSH, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 98.0699/100 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).

JEFFREY BUSH, M.D. is a Adult Reconstructive Orthopaedic Surgery Physician provider practicing in BIDDEFORD, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1538197074. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JEFFREY BUSH, M.D. appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding M.D. credentials at 46 BARRA RD STE 103, BIDDEFORD, ME, 04005, with a listed phone of (207) 286-1126. NPI 1538197074 was issued on 06/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUSH 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 291 prescription claims written by this provider, covering 172 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 30.9%. 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 98.0699/100 for the 2023 performance year (Quality 86.1398), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

46 BARRA RD STE 103
BIDDEFORD, ME 04005

Provider Details

NPI 1538197074
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/30/2006

CMS Quality Score (MIPS)

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

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JEFFREY BUSH, M.D. 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.

MAINEHEALTH
BIDDEFORD, ME
SELECT PHYSICAL THERAPY HOLDINGS INC
AUBURN, ME

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JEFFREY BUSH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$580

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

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

291
Total Claims
$3K
Total Drug Cost
172
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
305
Total Day Supply
2,105
Generic Drug Cost
$1K
Opioid Claims
90 (30.9% rate)
Antibiotic Claims
169

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
0.86
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin
131
Oxycodone Hcl
57
Clindamycin Hcl
32
Tramadol Hcl
23

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How JEFFREY BUSH, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

JEFFREY BUSH, M.D.'s 291 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Maine

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

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JEFFREY BUSH, M.D.'s specialty?
JEFFREY BUSH, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in BIDDEFORD, Maine. Credentials: M.D..
How much does JEFFREY BUSH, M.D. prescribe under Medicare Part D?
In 2023, JEFFREY BUSH, M.D. wrote 291 Medicare Part D claims totaling $3K in drug costs for 172 beneficiaries.
What is JEFFREY BUSH, M.D.'s Medicare quality score?
JEFFREY BUSH, M.D. has a CMS MIPS Final Score of 98.0699/100 (Quality: 86.1398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEFFREY BUSH, M.D. located?
JEFFREY BUSH, M.D. is located at 46 BARRA RD STE 103, BIDDEFORD, ME, 04005. Phone: (207) 286-1126.
What is JEFFREY BUSH, M.D.'s NPI number?
JEFFREY BUSH, M.D.'s National Provider Identifier (NPI) is 1538197074, issued on 06/30/2006.
Does JEFFREY BUSH, M.D. prescribe opioids?
Yes, JEFFREY BUSH, M.D. had 90 opioid claims in 2023 with an opioid prescribing rate of 30.9%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does JEFFREY BUSH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JEFFREY BUSH, M.D.'s most frequently prescribed drugs include Amoxicillin, Oxycodone Hcl, Clindamycin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEFFREY BUSH, M.D. accept Medicare?
JEFFREY BUSH, M.D. appears in CMS Medicare data with 291 Part D claims and 172 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY BUSH, M.D.'s credentials?
JEFFREY BUSH, M.D.'s NPI is 1538197074 with credentials M.D.. 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