DR. ALEXANDER BOUNEFF DMD, MD
NPI 1235665738
Dentist - Oral and Maxillofacial Surgery in Beaverton, OR
About Dr. Alexander Bouneff Dmd, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDER BOUNEFF DMD, MD (NPI 1235665738) is an individual oral and maxillofacial surgery provider in Beaverton, Oregon, licensed in Oregon (D11586) and active in the NPI registry since May 2017. He has opted out of Medicare through May 26, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Alexander Bouneff Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 26, 2026 through May 26, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alexander Bouneff's NPI number?
The NPI number for Alexander Bouneff is 1235665738. It was assigned to this individual provider in the NPPES registry on May 4, 2017.
Where is Alexander Bouneff located?
Alexander Bouneff practices at 3925 SW 153rd Dr Ste 100, Beaverton, OR 97003. The listed phone number is (503) 646-7101.
What is Alexander Bouneff's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Alexander Bouneff enrolled in Medicare?
No. Alexander Bouneff has opted out of Medicare through May 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Alexander Bouneff accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 3 other insurers list Alexander Bouneff 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 Alexander Bouneff was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Alexander Bouneff, DMD, MD · NPI 1235665738
Oral and Maxillofacial Surgery provider in Beaverton, Oregon. Individual provider, active in the CMS NPPES registry since May 4, 2017.
## Identity
- **NPI:** 1235665738 (Entity type: Individual)
- **Enumerated:** May 4, 2017
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** D11586 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3925 SW 153RD DR STE 100, Beaverton, OR 97003-4168
- **Phone:** (503) 646-7101
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235665738) · Data from the CMS NPPES public registry.