DR. MARK EDWARD BUFALINI DMD MD
NPI 1659481554
Dentist - Oral and Maxillofacial Surgery in Wilmington, NC
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Bufalini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 710 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
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 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.
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.
WILMINGTON, NC 28401
WILMINGTON, NC 28401
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.
Which organization bills Medicare for Mark Bufalini's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Bufalini reassigns Medicare benefits to Novant Health Medical Group Coastal Region, LLC (Wilmington, NC). The 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 Mark Bufalini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Bufalini accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 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.
# Dr. Mark Edward Bufalini, DMD MD · NPI 1659481554
Oral and Maxillofacial Surgery provider in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1659481554 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DS035576 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1305 PHYSICIANS DR, Wilmington, NC 28401-7352
- **Phone:** (910) 762-2618 · **Fax:** (910) 763-5173
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Novant Health Medical Group Coastal Region, LLC (NPI 1649865791, Wilmington, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2003
## Record status
- **NPPES last updated:** May 9, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1659481554) · Data from the CMS NPPES public registry.