1. Home
  2. Directory
  3. North Carolina
  4. Wilmington
  5. Dentist
  6. NPI Profile

DR. MARK EDWARD BUFALINI DMD MD
NPI 1659481554
Dentist - Oral and Maxillofacial Surgery in Wilmington, NC

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1305 PHYSICIANS DR, WILMINGTON, NC 28401(910) 762-2618(910) 763-5173 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2023, Mar 20, 2020 (2 updates tracked since 2020).

About Dr. Mark Edward Bufalini Dmd Md NPPES

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

DR. MARK EDWARD BUFALINI DMD MD (NPI 1659481554) is an individual oral and maxillofacial surgery provider in Wilmington, North Carolina, licensed in Pennsylvania (DS035576) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2003).

NPPES Registry Identity

NPI1659481554
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARK EDWARD BUFALINICredential: DMD MD
Location Address1305 PHYSICIANS DRWilmington, NC 28401-7352
Mailing Address1305 Physicians DrWilmington, NC 28401-7352 · (910) 762-2618 · Fax (910) 763-5173
Phone(910) 762-2618
Fax(910) 763-5173
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2003
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1659481554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in PA · DS035576✔ Licensed in NC · 2007-00364
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 2007-00364 (NC)
Also ListedSurgeryTaxonomy 208600000X · License 2007-00364 (NC)
1305 PHYSICIANS DR, Wilmington, NC 28401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Dr. Mark Edward Bufalini Dmd Md 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 ID8426180340
PECOS Enrollment IDI20100713000149
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

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. STEVEN LEMMON D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1305 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 762-2618
CAROLINAS ORAL & FACIAL SURGERY CENTER, INC.
Dentist (Oral and Maxillofacial Surgery)
1305 PHYSICIANS DR
WILMINGTON, NC 28401
New Hanover County (910) 762-2618

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 Mark Bufalini's NPI number?

The NPI number for Mark Bufalini is 1659481554. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Bufalini located?

Mark Bufalini practices at 1305 Physicians Dr, Wilmington, NC 28401. The listed phone number is (910) 762-2618.

What is Mark Bufalini's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mark Bufalini enrolled in Medicare?

Yes. Mark Bufalini 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.

What insurance does Mark Bufalini accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Mark Bufalini 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 Mark Bufalini was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.