Doctor profile · Federal record
Dr. Kelly Bushur, Cp PH.D
Clinical Psychologist · Carbondale, IL
- NPI 1629248406
- Accepts Medicare
- 30 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
400 S Lewis Ln
Carbondale, IL 629013547
(618) 519-9900
fax (618) 529-1384 - Mailing address
-
Po Box 577
Carterville, IL 629180577
Credentials & registration
- NPI registered
- March 2008 — 18 yrs on file
- Profile last updated
- October 23, 2014
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 103TC0700X — NUCC code
- State license (1)
- Illinois #071005772
- Medicaid (5)
- IL #370966854006 · IL #370966854015 · IL #370966854002 · IL #370966854024 · IL #370966854005
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629248406. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
51
Distinct HCPCS
1
Medicare allowed
$7,319
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90837 |
Psychotherapy, 1 hour | 51 | 11 | $144 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 51. This provider delivers 1.0× the peer median.Frequently asked questions
What is Dr. Kelly Bushur's medical specialty?
Dr. Kelly Bushur practices Clinical Psychologist in Carbondale, IL.
Where does Dr. Kelly Bushur practice?
Dr. Kelly Bushur practices at 400 S Lewis Ln, Carbondale, IL 629013547. Office phone: 6185199900.
What is Dr. Kelly Bushur's NPI?
Dr. Kelly Bushur's National Provider Identifier (NPI) is 1629248406, issued by NPPES.
Does Dr. Kelly Bushur accept Medicare assignment?
Yes. Dr. Kelly Bushur accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Bushur commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837). Source: CMS Medicare Physician & Other Practitioners file.