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PHILIP J BUFFINGTON MD
NPI 1114967973
Urology in Cincinnati, OH

Active since June 08, 2006PECOS Enrolled
98.3/100
CMS Quality Rating
4360 FERGUSON DR STE 100, CINCINNATI, OH 45245(513) 841-7750(513) 841-7751 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip J Buffington Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP J BUFFINGTON MD (NPI 1114967973) is an individual urology provider in Cincinnati, Ohio, licensed in Ohio (35-05-2155) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Blue Ash.

NPPES Registry Identity

NPI1114967973
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePHILIP J BUFFINGTONCredential: MD
Location Address4360 FERGUSON DR STE 100Cincinnati, OH 45245-1683
Mailing Address2000 Joseph E Sanker BlvdCincinnati, OH 45212-1979 · (513) 841-7400 · Fax (513) 841-7402
Phone(513) 841-7750
Fax(513) 841-7751
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 5, 2020
✔ NPI 1114967973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 35-05-2155
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4360 FERGUSON DR STE 100, Cincinnati, OH 45245
Open in Google Maps ↗

Secondary Practice Location 1

Location 110220 Alliance RdBlue Ash, OH 45242-4710 · Phone (513) 841-7800 · Fax (513) 841-7801

Other Identifiers 3

Medicaid0824406OH
Other340011131OH · Railroad Medicare
Medicaid64955206KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip J Buffington Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Shock wave crushing of kidney stones 50590
Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45245 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN JOSEPH MINNILLO M.D.
Urology
4360 FERGUSON DR STE 100
CINCINNATI, OH 45245
Clermont County (513) 841-7750
TRI STATE UROLOGIC SERVICES PSC INC
Urology
4360 FERGUSON DR STE 100
CINCINNATI, OH 45245
Clermont County (513) 841-7750
PAURUSH BABBAR
Urology
4360 FERGUSON DR STE 100
CINCINNATI, OH 45245
Clermont County (513) 841-7750
AARON L BEY M.D.
Urology
4360 FERGUSON DR STE 100
CINCINNATI, OH 45245
Clermont County (513) 841-7750
MICHAEL B ROUSSEAU MD
Urology
4360 FERGUSON DR STE 100
CINCINNATI, OH 45245
Clermont County (513) 841-7750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Buffington's NPI number?

The NPI number for Philip Buffington is 1114967973. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Philip Buffington located?

Philip Buffington practices at 4360 Ferguson Dr Ste 100, Cincinnati, OH 45245. The listed phone number is (513) 841-7750.

What is Philip Buffington's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Philip Buffington enrolled in Medicare?

Yes. Philip Buffington is registered in the Medicare PECOS enrollment system.

What insurance does Philip Buffington accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Philip Buffington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Buffington was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.