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GLENN ROBERT BUCZKOWSKI PA-C
NPI 1639107196
Physician Assistant - Surgical in Amherst, NY

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
4927 MAIN ST, STE 400, AMHERST, NY 14226(716) 877-7000(716) 322-1164 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2021, Oct 17, 2016 (2 updates tracked since 2016).

About Glenn Robert Buczkowski Pa-c NPPES

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

GLENN ROBERT BUCZKOWSKI PA-C (NPI 1639107196) is an individual surgical provider in Amherst, New York, licensed in New York (006921) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1639107196
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameGLENN ROBERT BUCZKOWSKICredential: PA-C
Location Address4927 MAIN ST, STE 400Amherst, NY 14226-4081
Mailing Address4927 Main St, Ste 400Amherst, NY 14226-4081 · (716) 690-2691 · Fax (716) 690-2695
Phone(716) 877-7000
Fax(716) 322-1164
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 30, 2006
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1639107196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 006921
Also ListedPhysician AssistantTaxonomy 363A00000X · License 006921 (NY)
4927 MAIN ST, Amherst, NY 14226
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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

Glenn Robert Buczkowski Pa-c 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 ID2365609492
PECOS Enrollment IDI20120201000601
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Other Providers at the Same Location NPPES 11

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

VISION RADIOLOGY LLP
Radiology (Neuroradiology)
4927 MAIN ST
AMHERST, NY 14226
Erie County (716) 893-3333
DR. RYAN F MAINE DDS
Dentist
4927 MAIN ST
AMHERST, NY 14226
Erie County (716) 631-2728
JONATHAN A BERNSTEIN
Dentist
4927 MAIN ST
AMHERST, NY 14226
Erie County (716) 631-2728
DR. MARK T DONAHUE DDS
Dentist
4927 MAIN ST
AMHERST, NY 14226
Erie County (716) 631-2728
DR. COURTNEY MCLEAN DDS
Dentist
4927 MAIN ST
AMHERST, NY 14226
Erie County (716) 631-2728
DR. JENELLA DHEA LUTCHMAN O.D.
Optometrist
4927 MAIN ST, SUITE 300
AMHERST, NY 14226
Erie County (716) 839-1780
DR. ANISHA ZAMAN DDS
Dentist
4927 MAIN ST
AMHERST, NY 14226
Erie County (646) 318-7493
DR. ALLISON TAYLOR FEIT DMD
Dentist (General Practice)
4927 MAIN ST
BUFFALO, NY 14226
Erie County (716) 631-2728

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 Glenn Buczkowski's NPI number?

The NPI number for Glenn Buczkowski is 1639107196. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Glenn Buczkowski located?

Glenn Buczkowski practices at 4927 Main St Ste 400, Amherst, NY 14226. The listed phone number is (716) 877-7000.

What is Glenn Buczkowski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Glenn Buczkowski enrolled in Medicare?

Yes. Glenn Buczkowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Glenn Buczkowski was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.