FILOMENA BUNCKE PHD, NP
NPI 1306911748
Nurse Practitioner - Psychiatric/Mental Health in South Setauket, NY

Q: What is Filomena Buncke's NPI number?

The NPI number for Filomena Buncke is 1306911748. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Filomena Buncke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Filomena Buncke was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment

98.52/100

CMS Quality Rating

3771 NESCONSET HWY STE 212, SOUTH SETAUKET, NY 11720(631) 689-5390(631) 689-5395 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2022, Jul 16, 2020, Dec 19, 2018 (3 updates tracked since 2018).

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About Filomena Buncke Phd, Np NPPES

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

FILOMENA BUNCKE PHD, NP (NPI 1306911748) is an individual psychiatric/mental health provider in South Setauket, New York, licensed in New York (F4003571) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1997).

NPPES Registry Identity

NPI1306911748

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameFILOMENA BUNCKECredential: PHD, NP

Location Address3771 NESCONSET HWY STE 212South Setauket, NY 11720-1154

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 689-5390 · Fax (631) 689-5395

Phone(631) 689-5390

Fax(631) 689-5395

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1997

Enumeration DateNovember 21, 2006

Last NPPES UpdateApril 7, 20223 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1306911748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F4003571

3771 NESCONSET HWY STE 212, South Setauket, NY 11720

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Other Identifiers 1

Medicaid01759535NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Filomena Buncke Phd, Np 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 ID9335333491

PECOS Enrollment IDI20101102001210

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 2

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.

559 services119 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

349 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11720 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

98.52/100

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

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

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…

100%73 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

98%92 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.

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Other Providers at the Same Location NPPES 5

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

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