BILLY JOE BUFFINGTON M.D.
NPI 1447215264
Emergency Medicine in Edmond, OK

Active since April 18, 2006PECOS Enrolled
81.85/100
CMS Quality Rating
1714 S KELLY AVE, EDMOND, OK 73013(405) 216-3993(405) 216-3992 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Billy Joe Buffington M.d. NPPES

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

BILLY JOE BUFFINGTON M.D. (NPI 1447215264) is an individual emergency medicine provider in Edmond, Oklahoma, licensed in Oklahoma (15483) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447215264
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBILLY JOE BUFFINGTONCredential: M.D.
Location Address1714 S KELLY AVEEdmond, OK 73013-3624
Mailing Address1714 S Kelly AveEdmond, OK 73013-3624 · (405) 216-3993 · Fax (405) 216-3992
Fax(405) 216-3992
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateJanuary 16, 2014
NPI 1447215264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OK · 15483
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1714 S KELLY AVE, Edmond, OK 73013

Other Identifiers 4

Medicaid100101440AOK
Medicare UPIND38667OK
OtherP00021467OK · Rr Medicare
Medicare ID-Type Unspecified244234501OK

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 (PECOS)

Billy Joe Buffington M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
217 services178 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
111 services88 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
20 services20 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

81.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.5
Promoting Interoperability80
Improvement Activities40
Cost75.69

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier30 claims30 services$18.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier34 claims34 services$102.72 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 6

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

Physical Therapist
1714 S KELLY AVE
EDMOND, OK 73013
Physical Therapist
1714 S KELLY AVE
EDMOND, OK 73013
Physical Therapist
1714 S KELLY AVE
EDMOND, OK 73013
Internal Medicine
1714 S KELLY AVE
EDMOND, OK 73013
Family Medicine
1714 S KELLY AVE
EDMOND, OK 73013
Physician Assistant
1714 S KELLY AVE
EDMOND, OK 73013

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 Billy Buffington's NPI number?

The NPI number for Billy Buffington is 1447215264. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Billy Buffington located?

Billy Buffington practices at 1714 S Kelly Ave, Edmond, OK 73013. The listed phone number is (405) 216-3993.

What is Billy Buffington's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Billy Buffington enrolled in Medicare?

Yes. Billy Buffington is registered in the Medicare PECOS enrollment system.

What insurance does Billy Buffington accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Billy 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 Billy Buffington was last updated on January 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.