Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blakelyn L Busse, DO

Individual provider Orthopaedic Surgery Physician · NPI 1093238230

Blakelyn L Busse, DO is an Orthopedic Surgery in Belleville, Illinois. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2017, 9 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IL
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4700 Memorial Dr Ste 340
Belleville, IL 62226-5373
Phone: (618) 234-9884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 W Ravine Rd, Kingsport, TN 37660-3837 — (423) 224-3292

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036.159450 (IL)

Record details

NPI number1093238230
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJune 20, 2022
Mailing address4700 Memorial Dr Ste 340, Belleville, IL 62226-5373

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2017 (9 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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