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DR. TIMOTHY J BUFFEY DO
NPI 1164422663
Family Medicine in Anchorage, AK

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
1100 E DIMOND BLVD STE 103, ANCHORAGE, AK 99515(907) 333-2133 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Timothy J Buffey Do NPPES

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

DR. TIMOTHY J BUFFEY DO (NPI 1164422663) is an individual family medicine provider in Anchorage, Alaska, licensed in Illinois (036-121749) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1994).

NPPES Registry Identity

NPI1164422663
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY J BUFFEYCredential: DO
Location Address1100 E DIMOND BLVD STE 103Anchorage, AK 99515-2010
Mailing Address1300 Franklin Ave, Suite 100Normal, IL 61761-3592 · (309) 268-3761 · Fax (309) 268-5620
Phone(907) 333-2133
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1994
Enumeration DateJuly 26, 2005
Last NPPES UpdateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1164422663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036-121749✔ Licensed in AK · 145829✔ Licensed in OH · 34007910✔ Licensed in MI · 5101012318
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 E DIMOND BLVD STE 103, Anchorage, AK 99515
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Secondary Practice Locations 2

Location 11300 Franklin Ave, suite 100Normal, IL 61761-3592 · Phone (309) 268-3761 · Fax (309) 268-5620
Location 23100 Tongass AveKetchikan, AK 99901-5746 · Phone (907) 228-8300 · Fax (907) 228-8440

Other Identifiers 8

Other000000245783OH · Anthem
Medicaid36121749IL
Other04238OH · Paramount
Medicaid2357926OH
Other5715390IL · Blue Cross/ Blue Shield
Other080191223OH · Rrmc
Other17-29002OH · Uhc
Other5993729OH · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Dr. Timothy J Buffey Do 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.

PECOS PAC ID2860456191
PECOS Enrollment IDI20211206001817
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Timothy Buffey reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Network Of Alaska, LLC
Same address
Otolaryngology
1100 E DIMOND BLVD
Anchorage, AK 99515
  • Reassigned Medicare billing, Alaska enrollment
  • 67 clinicians in this Medicare group
NPI 1922862986 (907) 864-4625
Providence Health & Services- Washington
3.4 mi
Critical Care Medicine
3200 PROVIDENCE DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 228 clinicians in this Medicare group
NPI 1093956278 (907) 212-6002
Hospital Medicine Of Ak, LLC
4.7 mi
Hospitalist
2801 DEBARR RD
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 56 clinicians in this Medicare group
NPI 1346947470 (907) 276-1131
Mercy Clinic Fort Smith Communities
2,986 mi
Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
NPI 1902073620 (479) 314-1101
Mercy Hospital Waldron
3,006 mi
Rural Health
100 N WALNUT AVE STE A
Mansfield, AR 72944
  • Reassigned Medicare billing, Arkansas enrollment
  • 137 clinicians in this Medicare group
NPI 1295774917 (479) 928-4404

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 7

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
189 services188 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services21 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99515 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

ALLYSON BETH GALLER PA-C
Physician Assistant
1100 E DIMOND BLVD STE 103
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-5890
MR. SEAN EDWARD ALLWORTH PA-C
Physician Assistant
1100 E DIMOND BLVD STE 103
ANCHORAGE, AK 99515
Anchorage Municipality (907) 267-5890

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 Timothy Buffey's NPI number?

The NPI number for Timothy Buffey is 1164422663. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Timothy Buffey located?

Timothy Buffey practices at 1100 E Dimond Blvd Ste 103, Anchorage, AK 99515. The listed phone number is (907) 333-2133.

What is Timothy Buffey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Buffey enrolled in Medicare?

Yes. Timothy Buffey 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 organizations bill Medicare for Timothy Buffey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Buffey reassigns Medicare benefits to 5 organizations: Medical Network Of Alaska, LLC (Anchorage, AK), Providence Health & Services- Washington (Anchorage, AK), Hospital Medicine Of Ak, LLC (Anchorage, AK), Mercy Clinic Fort Smith Communities (Fort Smith, AR) and Mercy Hospital Waldron (Mansfield, AR). Each 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 Timothy Buffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Buffey accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Timothy Buffey 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 Timothy Buffey was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.