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CARMEN CAVALANCIA BUGGEY CRNP
NPI 1265976658
Nurse Practitioner - Family in Plumville, PA

Active since December 05, 2016PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
188 MAIN ST, PLUMVILLE, PA 16246(724) 397-9008(724) 397-9015 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2021, Jul 23, 2018 (2 updates tracked since 2018).

About Carmen Cavalancia Buggey Crnp NPPES

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

CARMEN CAVALANCIA BUGGEY CRNP (NPI 1265976658) is an individual family provider in Plumville, Pennsylvania, licensed in Pennsylvania (SP016932) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1265976658
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEN CAVALANCIA BUGGEYCredential: CRNP
Location Address188 MAIN STPlumville, PA 16246-9809
Mailing Address640 Kolter DrIndiana, PA 15701-3570 · (724) 357-7196 · Fax (724) 357-7279
Phone(724) 397-9008
Fax(724) 397-9015
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 5, 2016
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1265976658 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 PA · SP016932
188 MAIN ST, Plumville, PA 16246
Open in Google Maps ↗

Secondary Practice Location 1

Location 1950 2nd AvePittsburgh, PA 15219 · Phone (412) 350-2000

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

Carmen Cavalancia Buggey Crnp 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 ID7214286723
PECOS Enrollment IDI20180816001804
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.

Hospital Affiliations CMS Care Compare

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16246 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 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

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

DANNIELLE NICHOLE MCGEE CRNP
Nurse Practitioner (Family)
188 MAIN ST
PLUMVILLE, PA 16246
Indiana County (724) 397-9008

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 Carmen Buggey's NPI number?

The NPI number for Carmen Buggey is 1265976658. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is Carmen Buggey located?

Carmen Buggey practices at 188 Main St, Plumville, PA 16246. The listed phone number is (724) 397-9008.

What is Carmen Buggey's specialty?

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

Is Carmen Buggey enrolled in Medicare?

Yes. Carmen Buggey 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.

Is Carmen Buggey affiliated with any hospitals?

According to CMS data, Carmen Buggey is affiliated with Indiana Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Carmen Buggey was last updated on March 12, 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.