STAR BUMBANAC
NPI 1205212289
Nurse Practitioner - Family in Carthage, NY

Q: What is Star Bumbanac's NPI number?

The NPI number for Star Bumbanac is 1205212289. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Q: What is Star Bumbanac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Star Bumbanac was last updated on May 10, 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.

Active since August 03, 2015PECOS EnrolledAccepts Medicare Assignment

1001 WEST ST, CARTHAGE, NY 13619(734) 793-6140(734) 402-0254 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2024, Aug 17, 2017 (2 updates tracked since 2017).

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About Star Bumbanac NPPES

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

STAR BUMBANAC (NPI 1205212289) is an individual family provider in Carthage, New York, licensed in Florida (11014087) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Carthage Area Hospital, Inc, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1205212289

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTAR BUMBANAC

Location Address1001 WEST STCarthage, NY 13619-9703

Mailing Address1001 West StCarthage, NY 13619-9703 · (734) 793-6140 · Fax (734) 402-0254

Phone(734) 793-6140

Fax(734) 402-0254

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 3, 2015

Last NPPES UpdateMay 10, 20242 updates tracked since enumeration

NPPES CertifiedAugust 17, 2021

✔ NPI 1205212289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11014087

Also ListedNurse PractitionerTaxonomy 363L00000X · License 339827 (NY), 209027342 (IL), 71014684A (IN), 4704380462 (MI), APRN.CNP.0030868 (OH), 14414 (IN), SP029531 (PA)

1001 WEST ST, Carthage, NY 13619

Open in Google Maps ↗

Secondary Practice Locations 7

Location 119165 W Bluemound RdBrookfield, WI 53045-6076 · Phone (262) 649-2780

Location 226 Bolivar DrBradford, PA 16701-3125 · Phone (814) 817-4690

Location 31010 S Reed RdKokomo, IN 46901-6248 · Phone (765) 252-2176

Location 46831 North AveOak Park, IL 60302-1023 · Phone (708) 298-0540

Location 52880 Stelzer RdColumbus, OH 43219-3133 · Phone (833) 620-1234

Location 67375 Oswego Rd Ste 1Liverpool, NY 13090-3717 · Phone (315) 291-0064

Location 71175 M-89 (Allegan St)Plainwell, MI 49080 · Phone (269) 204-3025

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Star Bumbanac 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 ID3173830510

PECOS Enrollment IDI20150916002568, I20211013000245, I20230630001628, I20240122003159, I20240405001112

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 6

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.

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.

32 services32 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

24 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 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.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carthage Area Hospital, Inc

Critical Access Hospitals · Carthage, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331318

Location1001 West StreetCarthage, NY 13619 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13619 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

92%26 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

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

MR. MICHAEL EUGENE FLAHERTY PA

Physician Assistant (Medical)