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Active NPI 1528020682 Individual Practitioner Male Practitioner

Kenneth Wayne Bush , PA

Physician Assistant • Clemmons, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenneth Bush, PA is a certified Physician Assistant practicing in Clemmons, NC. With approximately 22 years of clinical experience since completing medical education in 2004, Kenneth Bush delivers high-quality medical care to the local community at 2311 LEWISVILLE CLEMMONS RD.

Kenneth Bush maintains professional affiliations with Carolina Medicorp Enterprises Llc, Wake Forest University Health Sciences and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2311 Lewisville Clemmons Rd

Clemmons, NC 270128905

Telephone 3367162255
Associated Practice Facility / Clinic
🏢 Carenet, Inc. Facility NPI 1295124626

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clemmons, NC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +9.4 yrs vs City Avg
City Avg: 12.6 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Clemmons, NC (9374 Statewide)

Telehealth Adoption Rate
16.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bush (22 Years) 22 Yrs
Clemmons Specialty Average (12.6 Years) 12.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
84 81 $291.00 $101.98
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
77 75 $45.00 $13.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
17 15 $197.00 $62.49

Medical Specialties & State Licenses

CMS Verified: 2025-06-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 103038

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8101650 (NC)

Hospital & Practice Group Affiliations

Carolina Medicorp Enterprises Llc

105 Hanes Square Cir, Winston Salem, NC 271035514

Phone: 3364415569

Wake Forest University Health Sciences

Medical Ctr Blvd, Winston Salem, NC 271570001

Phone: 3367162734

Carolina Medicorp Enterprises Llc

3163 Gammon Ln, Clemmons, NC 270129052

Phone: 3363105571

Carolina Medicorp Enterprises Llc

794 S Main St, Kernersville, NC 272844074

Phone: 3369042317

Wake Forest University Health Sciences

601 N Elm St, High Point, NC 272624331

Phone: 3367162734

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Craig Combs , MD

Anesthesiology

NPI 1003010828

Doctor of Medicine (M.D.)

Dr. Amr El Haraki , MD

Obstetrics & Gynecology

NPI 1003171539

Doctor of Medicine (M.D.)

Dr. Michael Mccormack , MD

Internal Medicine - Hematology & Oncology

NPI 1003179045

Doctor of Medicine (M.D.)

Dr. Analicia Alvarado , MD

Internal Medicine - Nephrology

NPI 1003483256

Doctor of Medicine (M.D.)

Dr. Kenneth Zamkoff , MD

Internal Medicine - Medical Oncology

NPI 1003831140

Doctor of Medicine (M.D.)

Dr. Janet Horton , MD

Radiology - Radiation Oncology

NPI 1003845603

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2013

Registered at 2311 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 270128905 (Tel: 3367162255)

📍
Updated Business Mailing Address April 22, 2013

Registered at PO BOX 602658, CHARLOTTE, NC 282602658 (Tel: 3367162255)

👤
Provider Name / Credentials Updated April 22, 2013

Recorded as KENNETH BUSH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2013

Physician Assistant (License #103038 in NC)

🟢
Initial NPI Registration & Enumeration April 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528020682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2006
Last Update: June 23, 2025
Sole Proprietor: No

Mailing Address

Po Box 602658

Charlotte, NC 282602658

Phone: 3367162255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.