BILLY JOE BUFFINGTON M.D.
NPI 1447215264
Emergency Medicine in Edmond, OK
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Billy Joe Buffington M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Billy Buffington reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sulphur, OK 73086
- Reassigned Medicare billing, Oklahoma enrollment
- 66 clinicians in this Medicare group
Ardmore, OK 73401
- Reassigned Medicare billing, Oklahoma enrollment
- 46 clinicians in this Medicare group
Mcalester, OK 74501
- Reassigned Medicare billing, Oklahoma enrollment
- 82 clinicians in this Medicare group
Mooreland, OK 73852
- Reassigned Medicare billing, Oklahoma enrollment
- Also billed through NPI 1083617807 (Oklahoma)
- 62 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Billy Buffington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Billy Buffington reassigns Medicare benefits to 4 organizations: Arbuckle Memorial Hospital (Sulphur, OK), Exceptional Physicians Group Ardmore Hospital PLLC (Ardmore, OK), Hospital Care Consultants, Inc (Mcalester, OK) and Newman Memorial Hospital, Inc (Mooreland, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Billy Buffington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Billy Buffington accept?
Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Billy Joe Buffington, M.D. · NPI 1447215264
Emergency Medicine physician in Edmond, Oklahoma. Individual provider, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1447215264 (Entity type: Individual)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 15483 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1714 S KELLY AVE, Edmond, OK 73013-3624
- **Phone:** (405) 216-3993 · **Fax:** (405) 216-3992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Arbuckle Memorial Hospital (NPI 1700869492, Sulphur, OK); Exceptional Physicians Group Ardmore Hospital PLLC (NPI 1588427462, Ardmore, OK); Hospital Care Consultants, Inc (NPI 1912945635, Mcalester, OK); Newman Memorial Hospital, Inc (NPI 1497639181, Mooreland, OK) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2014
- **Other identifiers:** Medicaid 100101440A (OK); Medicare UPIN D38667 (OK); Other P00021467 (OK); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1447215264) · Data from the CMS NPPES public registry.