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

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: October 18, 2026.

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

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, Paramount.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

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, 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.

Medicare Billing Reassignments

5

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

Carthage Area Hospital Inc.
Same address
Skilled Nursing Facility
1001 WEST ST
Carthage, NY 13619
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1104234376 (New York)
  • 199 clinicians in this Medicare group
NPI 1225249782 (315) 493-1000
Wellnow Urgent Care, PC
67 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, Illinois, New York and Pennsylvania enrollments
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 195 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032
Delphi Healthcare PLLC
119 mi
Emergency Medicine
1160 CHILI AVE
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 203 clinicians in this Medicare group
NPI 1003075029 (585) 330-3374
Pic Indiana PC
560 mi
Urgent Care
505 W CLEVELAND RD
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • 166 clinicians in this Medicare group
NPI 1942546890 (815) 713-2600
Physicians Immediate Care North Chicago LLC
631 mi
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 clinicians in this Medicare group
NPI 1205814118 (815) 713-2738

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 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.

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)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
RYANN MAIER DPT
Physical Therapist
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1340
TERESA Y INTORCIA MNT
Dietitian, Registered (Nutrition, Metabolic)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1005
DR. MICHAEL ELIJAH GORDON JR. M.D.
Anesthesiology
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1001
MRS. KATRINA LEIGH NORTZ PT
Physical Therapist
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
CARTHAGE AREA HOSPITAL INC
General Acute Care Hospital (Critical Access)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
CARTHAGE AREA HOSPITAL, INC
Surgery
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-0110
MR. CHRISTOPHER MICHAEL MCCARTNEY CRNA
Nurse Anesthetist, Certified Registered
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 952-5650

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 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.

Where is Star Bumbanac located?

Star Bumbanac practices at 1001 West St, Carthage, NY 13619. The listed phone number is (734) 793-6140.

What is Star Bumbanac's specialty?

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

Is Star Bumbanac enrolled in Medicare?

Yes. Star Bumbanac 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 Star Bumbanac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Star Bumbanac reassigns Medicare benefits to 5 organizations: Carthage Area Hospital Inc. (Carthage, NY), Wellnow Urgent Care, PC (Liverpool, NY), Delphi Healthcare PLLC (Rochester, NY), Pic Indiana PC (Mishawaka, IN) and Physicians Immediate Care North Chicago LLC (Chicago, IL). 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 Star Bumbanac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Star Bumbanac accept?

Health plans from CareSource and Paramount list Star Bumbanac 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.

Is Star Bumbanac affiliated with any hospitals?

According to CMS data, Star Bumbanac is affiliated with Carthage Area Hospital, Inc.

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.