MR. BENEDICT MARK M BUNAL NP
NPI 1508580119
Nurse Practitioner - Family in Portland, OR

NPI Status: Active since September 27, 2022

Contact Information

18633 SE STARK ST STE 401
PORTLAND, OR
ZIP 97233
Phone: (503) 489-1760

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Nurse Practitioner
Family
Accepts Insurance
PECOS Enrolled

About BENEDICT MARK BUNAL

This page provides the complete NPI Profile along with additional information for Benedict Mark Bunal, a provider established in Portland, Oregon with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1508580119 assigned on September 2022. The practitioner's primary taxonomy code is 363LF0000X with license number 202215281NP-PP (OR). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI: 1508580119
Provider Name: MR. BENEDICT MARK M BUNAL NP
Gender: Male
Entity Type: Individual
Location Address: 18633 SE STARK ST STE 401 PORTLAND, OR 97233
Location Phone: (503) 489-1760
Mailing Address: 12045 SE 5TH ST VANCOUVER, WA 98683
Mailing Phone: (904) 763-6796
Is Sole Proprietor?: No
Enumeration Date: 09-27-2022
Last Update Date: 09-27-2022
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A nurse practitioner (NP) like Benedict Mark Bunal is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Family
Taxonomy Code: 363LF0000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 202215281NP-PP
License State: OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Moda Health Plan, Inc.

Moda Health Affinity Bronze 7750 - EPO
Moda Health Affinity Bronze 9000 - EPO
Moda Health Affinity Bronze HDHP 7500 - EPO
Moda Health Affinity Gold 1000 - EPO
Moda Health Affinity Gold 1500 - EPO
Moda Health Affinity Gold 250 - EPO
Moda Health Affinity Silver 3000 - EPO
Moda Health Affinity Silver 3400 - EPO
Moda Health Affinity Silver 4500 - EPO
Moda Health Affinity Silver 6000 - EPO
Moda Health Oregon Standard Bronze Affinity - EPO
Moda Health Oregon Standard Gold Affinity - EPO
Moda Health Oregon Standard Silver Affinity - EPO
Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Bronze HDHP 7500 - EPO
Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold - PPO
Premera Blue Cross Preferred Bronze 5800 HSA - PPO
Premera Blue Cross Preferred Bronze 6350 - PPO
Premera Blue Cross Preferred Gold 1500 - PPO
Premera Blue Cross Preferred Silver 4500 - PPO
Premera Blue Cross Standard Bronze II - PPO
Premera Blue Cross Standard Gold - PPO
Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Benedict Mark Bunal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97233 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $90.51
Minimum New Patient Price $58.99
Maximum New Patient Price $176.88

Average New Patient Copayment $22.62
Minimum New Patient Copayment $14.74
Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $103.51
Minimum Established Patient Price $19.32
Maximum Established Patient Price $144.79

Average Established Patient Copayment $25.87
Minimum Established Patient Copayment $4.83
Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	0	8	5	8	0	1	1	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	0	8	10	8	0	1	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 0 + 8 + 0 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1508580119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

THE WALLACE MEDICAL CONCERN

Clinic/Center

(Dental)