Doctor profile · Federal record
Dr. Nicolas von Dem Bussche, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Newport Beach, CA
- NPI 1720037682
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 26 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1 Hoag Dr
Newport Beach, CA 926634162
(949) 263-8620
fax (949) 263-1639 - Mailing address
-
Po Box 3095
Newport Beach, CA 926590659
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- October 23, 2007
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- California #A79178
- Medicaid
- CA #00A791780
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720037682. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
5,746
Distinct HCPCS
10
Medicare allowed
$212,844
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
77067 |
Screening mammography | 1,110 | 1,107 | $39 | |
77063 |
Screening 3d breast mammography | 1,019 | 1,016 | $31 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 628 | 628 | $10 | |
71045 |
X-ray of chest, 1 view | 434 | 412 | $9 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 280 | 277 | $31 | |
77066 |
Diagnostic mammography of both breasts | 225 | 222 | $50 | |
71046 |
X-ray of chest, 2 views | 163 | 160 | $11 | |
76642 |
Limited ultrasound scan of 1 breast | 163 | 158 | $37 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 141 | 139 | $93 | |
70450 |
Ct scan head or brain without contrast | 125 | 119 | $42 |
In context: peer comparison
Among 19 peers in Newport Beach Diagnostic Radiology Physician, average services per provider: 91. This provider delivers 63× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Nicolas von Dem Bussche's medical specialty?
Dr. Nicolas von Dem Bussche practices Diagnostic Radiology Physician in Newport Beach, CA.
Where does Dr. Nicolas von Dem Bussche practice?
Dr. Nicolas von Dem Bussche practices at 1 Hoag Dr, Newport Beach, CA 926634162. Office phone: 9492638620.
What is Dr. Nicolas von Dem Bussche's NPI?
Dr. Nicolas von Dem Bussche's National Provider Identifier (NPI) is 1720037682, issued by NPPES.
Does Dr. Nicolas von Dem Bussche accept Medicare assignment?
Yes. Dr. Nicolas von Dem Bussche accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicolas von Dem Bussche commonly perform?
Top Medicare-reported procedures in 2023: Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063); Dxa bone density measurement of hip, pelvis, spine (HCPCS 77080). Source: CMS Medicare Physician & Other Practitioners file.