ROMAN PLATON BUKACHEVSKY M.D.
NPI 1205836954
Otolaryngology in Templeton, CA

Q: What is Roman Bukachevsky's NPI number?

The NPI number for Roman Bukachevsky is 1205836954. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Q: What is Roman Bukachevsky's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Roman Bukachevsky was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 July 22, 2005PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

295 POSADA LN, SUITE B, TEMPLETON, CA 93465(805) 434-5960(805) 434-5963 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Roman Platon Bukachevsky M.d. NPPES

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

ROMAN PLATON BUKACHEVSKY M.D. (NPI 1205836954) is an individual otolaryngology provider in Templeton, California, licensed in California (G71259) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1986).

NPPES Registry Identity

NPI1205836954

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameROMAN PLATON BUKACHEVSKYCredential: M.D.

Location Address295 POSADA LN, SUITE BTempleton, CA 93465-4055

Mailing Address295 Posada Ln, Suite BTempleton, CA 93465-4055 · (805) 434-5960 · Fax (805) 434-5963

Phone(805) 434-5960

Fax(805) 434-5963

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1986

Enumeration DateJuly 22, 2005

Last NPPES UpdateJune 29, 2010

✔ NPI 1205836954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CA · G71259

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

295 POSADA LN, Templeton, CA 93465

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINE88181CA

Medicare ID-Type UnspecifiedWG71259DCA · Ppin

Medicaid00G712591CA

OtherW15711CA · Medicare Group Provider I

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

Roman Platon Bukachevsky M.d. 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 ID8921109497

PECOS Enrollment IDI20101019001412

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 13

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.

461 services288 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.

209 services209 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

192 services158 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.

55 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

53 services50 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

45 services41 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

33 services33 patients

Creation of flap graft to midface 15730

A flap graft to the midface is a surgical procedure where a piece of tissue, with its blood supply, is transferred from one area of the body to the midface region. This helps restore form and function, especially after injury or disease.

26 services26 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.

16 services16 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

14 services13 patients

Creation of flap graft to nose, forehead, temple, or scalp 15731

A flap graft is a surgical procedure where skin from one area is moved to another, such as the nose, forehead, temple, or scalp. It helps restore function and appearance to areas damaged by injury or disease. The procedure involves careful planning to ensure the graft's success.

14 services14 patients

Creation of flap graft to head and/or neck 15733

A flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.

14 services14 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm 11646

This procedure involves the careful removal of a cancerous skin growth larger than 4.0 cm from the face, ears, eyelids, nose, lips, or mouth. The aim is to eliminate cancer cells while preserving surrounding healthy tissue. Local anesthesia is typically used.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93465 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

$135.73 typical visit price

range $59.84 – $178.89

Typical copayment $33.93 (range $14.96 – $44.72)

Most-billed visit code 99204

Established Patient

$74.24 typical visit price

range $19.70 – $146.55

Typical copayment $18.56 (range $4.92 – $36.63)

Most-billed visit code 99213

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Other Providers at the Same Location NPPES 8

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

ANDREW S DENNISH MD, FACC

Internal Medicine (Cardiovascular Disease)

295 POSADA LN, SUITE A
TEMPLETON, CA 93465

San Luis Obispo County (805) 782-8844

SHANNON M BERRY M.D.

Internal Medicine

295 POSADA LN, SUITE D
TEMPLETON, CA 93465

San Luis Obispo County (805) 434-9900

LAWRENCE E VONDOLLEN MD, FACC

Internal Medicine (Cardiovascular Disease)

295 POSADA LN, STE A
TEMPLETON, CA 93465

San Luis Obispo County (805) 782-8844

CENTRAL COAST FACIAL SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

295 POSADA LN, SUITE B
TEMPLETON, CA 93465

San Luis Obispo County (805) 434-5960

MS. LIBBY A KERR RN BSN CDE

Registered Nurse (Diabetes Educator)

295 POSADA LN, SUITE C
TEMPLETON, CA 93465

San Luis Obispo County (805) 434-1166

ROMAN P. BUKACHEVSKY, MD, INC

Specialist

295 POSADA LN, SUITE B
TEMPLETON, CA 93465

San Luis Obispo County (805) 434-5960

JULIE C FALLON M.D.

Internal Medicine

295 POSADA LN, SUITE D
TEMPLETON, CA 93465

San Luis Obispo County (805) 434-9900

DR. STEVEN JEROME MCALLEN M.D.

Internal Medicine

295 POSADA LN, SUITE C
TEMPLETON, CA 93465

San Luis Obispo County (805) 434-1166

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 Roman Bukachevsky's NPI number?

The NPI number for Roman Bukachevsky is 1205836954. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Roman Bukachevsky located?

Roman Bukachevsky practices at 295 Posada Ln Suite B, Templeton, CA 93465. The listed phone number is (805) 434-5960.

What is Roman Bukachevsky's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Roman Bukachevsky enrolled in Medicare?

Yes. Roman Bukachevsky 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.

When was this NPI record last updated?

The NPPES record for Roman Bukachevsky was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.