PHILIP J BUFFINGTON MD
NPI 1114967973
Urology in Cincinnati, OH
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, maintains a secondary practice location in Blue Ash, and is a graduate of University Of Cincinnati College Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Philip J Buffington Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Philip Buffington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45245
- Reassigned Medicare billing, Ohio enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Philip Buffington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Buffington reassigns Medicare benefits to Tri State Urologic Services Psc Inc (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Buffington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Buffington accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance 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.
# Philip J Buffington, MD · NPI 1114967973
Urology physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1114967973 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 35-05-2155 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4360 FERGUSON DR STE 100, Cincinnati, OH 45245-1683
- **Phone:** (513) 841-7750 · **Fax:** (513) 841-7751
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tri State Urologic Services Psc Inc (NPI 1285827972, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 1984
## Record status
- **NPPES last updated:** February 5, 2020
- **Other identifiers:** Medicaid 0824406 (OH); Other 340011131 (OH); Medicaid 64955206 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1114967973) · Data from the CMS NPPES public registry.