MARY E BUKOVITZ MD
NPI 1164517942
Pediatrics in Morristown, TN

Q: What is Mary Bukovitz's NPI number?

The NPI number for Mary Bukovitz is 1164517942. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Mary E Allum M.D..

Q: What is Mary Bukovitz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bukovitz was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 04, 2006PECOS Enrolled

1817 W MORRIS BLVD, MORRISTOWN, TN 37813(423) 581-3904(423) 581-6120 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mary E Bukovitz Md NPPES

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

MARY E BUKOVITZ MD (NPI 1164517942) is an individual pediatrics provider in Morristown, Tennessee, licensed in Tennessee (6021) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164517942

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY E BUKOVITZCredential: MD

Location Address1817 W MORRIS BLVDMorristown, TN 37813-2837

Mailing Address1225 E Weisgarber Rd Ste 200Knoxville, TN 37909-2675 · (865) 584-4747 · Fax (865) 584-1363

Phone(423) 581-3904

Fax(423) 581-6120

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateNovember 8, 2018

✔ NPI 1164517942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 6021

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1817 W MORRIS BLVD, Morristown, TN 37813

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Other Names 1

Other Name (5)Mary E Allum M.d.

Other Identifiers 1

Medicaid3149630TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary E Bukovitz 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Bukovitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, PLLC

Same address

Pediatrics

1817 W MORRIS BLVD
Morristown, TN 37813

Reassigned Medicare billing, Tennessee enrollment
1,003 clinicians in this Medicare group

NPI 1285132845 (423) 581-3904

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37813 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 18

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

FELISTIA NICOLE GAMBILL MD

Pediatrics