SHIRLEY PRASETYO BUNTORO DO
NPI 1831727239
Family Medicine in Sayre, PA
About Shirley Prasetyo Buntoro Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRLEY PRASETYO BUNTORO DO (NPI 1831727239) is an individual family medicine provider in Sayre, Pennsylvania, licensed in Texas (U4752) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Shirley Prasetyo Buntoro Do 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Mother Frances Hospital
Acute Care Hospitals · Tyler, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18840 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAYRE, PA 18840
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 Shirley Buntoro's NPI number?
The NPI number for Shirley Buntoro is 1831727239. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Shirley Buntoro located?
Shirley Buntoro practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 887-3585.
What is Shirley Buntoro's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shirley Buntoro enrolled in Medicare?
Yes. Shirley Buntoro 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 Shirley Buntoro accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Shirley Buntoro 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.
Is Shirley Buntoro affiliated with any hospitals?
According to CMS data, Shirley Buntoro is affiliated with Christus Mother Frances Hospital.
When was this NPI record last updated?
The NPPES record for Shirley Buntoro was last updated on July 19, 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.
# Shirley Prasetyo Buntoro, DO · NPI 1831727239
Family Medicine physician in Sayre, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1831727239 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** U4752 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 GUTHRIE SQ, Sayre, PA 18840-1625
- **Phone:** (570) 887-3585
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1831727239) · Data from the CMS NPPES public registry.