DR. PETER DONALD BUSSELBERG M.D. NPI 1558567974

NPI Information

  • NPI: 1558567974
  • Provider Name: DR. PETER DONALD BUSSELBERG, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5775 WAYZATA BLVD.
    SUITE 190
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Phone: (952) 541-1840

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NPI Details

DR. Peter Donald Busselberg, M.D. is a diagnostic radiology radiology in Saint Louis Park, MN with 20 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Peter Donald Busselberg, M.D. NPI is 1558567974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2006

The provider's business location address is:

5775 WAYZATA BLVD.
SUITE 190
SAINT LOUIS PARK, MN
ZIP 55416-627
Phone: (952) 541-1840

The NPI 1558567974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Ct scan of cranial cavity without contrast (HCPCS:70480)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)

The enumeration date for this NPI number is 6/22/2007 and was last updated on 5/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMT189143PENNSYLVANIANo
22085R0202XRadiologyDiagnostic Radiology56283MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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