MATTHEW BUCCOLA
NPI 1356692677
Counselor - Mental Health in Eugene, OR

Q: What is Matthew Buccola's NPI number?

The NPI number for Matthew Buccola is 1356692677. It was assigned to this individual provider in the NPPES registry on September 26, 2012.

Q: What is Matthew Buccola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Matthew Buccola enrolled in Medicare?

No. Matthew Buccola has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Matthew Buccola was last updated on August 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 26, 2012Opted out of Medicare · through Mar 13, 2028

71 CENTENNIAL LOOP STE A, EUGENE, OR 97401(541) 505-8426(541) 515-6938 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2020, Dec 2, 2019, Feb 20, 2018 (3 updates tracked since 2018).

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About Matthew Buccola NPPES

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

MATTHEW BUCCOLA (NPI 1356692677) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since September 2012. He has opted out of Medicare through March 13, 2028.

NPPES Registry Identity

NPI1356692677

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMATTHEW BUCCOLA

Location Address71 CENTENNIAL LOOP STE AEugene, OR 97401-2443

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170

Phone(541) 505-8426

Fax(541) 515-6938

Sole ProprietorNo

Enumeration DateSeptember 26, 2012

Last NPPES UpdateAugust 21, 20203 updates tracked since enumeration

✔ NPI 1356692677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

71 CENTENNIAL LOOP STE A, Eugene, OR 97401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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

Matthew Buccola 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 March 13, 2024 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2024

Opt-Out In Effect ThroughMarch 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

DONALD SCHAEFER

Counselor (Mental Health)