HOWARD KELLY BUFFINGTON FNP-C
NPI 1235725383
Nurse Practitioner - Family in Rome, GA

Active since December 14, 2020PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
504 REDMOND RD NW, ROME, GA 30165(706) 528-9060(706) 290-2399 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2021, Dec 14, 2020 (2 updates tracked since 2020).

About Howard Kelly Buffington Fnp-c NPPES

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

HOWARD KELLY BUFFINGTON FNP-C (NPI 1235725383) is an individual family provider in Rome, Georgia, licensed in Georgia (F09201666) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rome, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235725383
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHOWARD KELLY BUFFINGTONCredential: FNP-C
Location Address504 REDMOND RD NWRome, GA 30165-1416
Mailing Address504 Redmond Rd NwRome, GA 30165-1416 · (706) 528-9060 · Fax (706) 290-2399
Fax(706) 290-2399
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 14, 2020
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
NPI 1235725383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · F09201666
504 REDMOND RD NW, Rome, GA 30165

Secondary Practice Location 1

Location 1501 Redmond Rd NWRome, GA 30165-1415 · Phone (706) 766-0059 ext. 3271

Accepted 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

Howard Kelly Buffington Fnp-c 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 ID2567878598
PECOS Enrollment IDI20210316003071
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
78 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services13 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$197.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
504 REDMOND RD NW
ROME, GA 30165
Physician Assistant
504 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
504 REDMOND RD NW
ROME, GA 30165
Physician Assistant
504 REDMOND RD NW
ROME, GA 30165
Pediatrics (Pediatric Cardiology)
504 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
504 REDMOND RD NW
ROME, GA 30165
Urology
504 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
504 REDMOND RD NW
ROME, GA 30165

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 Howard Buffington's NPI number?

The NPI number for Howard Buffington is 1235725383. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Where is Howard Buffington located?

Howard Buffington practices at 504 Redmond Rd NW, Rome, GA 30165. The listed phone number is (706) 528-9060.

What is Howard Buffington's specialty?

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

Is Howard Buffington enrolled in Medicare?

Yes. Howard Buffington 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.

What insurance does Howard Buffington accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Howard Buffington 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 Howard Buffington was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.