TERRY BUCHANAN NP-C
NPI 1851743165
Nurse Practitioner - Family in Round Rock, TX

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
1855 GATTIS SCHOOL RD, ROUND ROCK, TX 78664(866) 277-2323 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2025, Aug 29, 2023, Mar 13, 2023 and 4 more (7 updates tracked since 2016).

About Terry Buchanan Np-c NPPES

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

TERRY BUCHANAN NP-C (NPI 1851743165) is an individual family provider in Round Rock, Texas, licensed in Texas (AP131311) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1851743165
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERRY BUCHANANCredential: NP-C
Location Address1855 GATTIS SCHOOL RDRound Rock, TX 78664-7428
Mailing AddressPo Box 266Shepherd, TX 77371-0266 · (281) 468-0311
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 11, 2016
Last NPPES UpdateJune 11, 20257 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1851743165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP131311
1855 GATTIS SCHOOL RD, Round Rock, TX 78664

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

Terry Buchanan Np-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 ID4486932167
PECOS Enrollment IDI20161101000111
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Terry Buchanan reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
1855 GATTIS SCHOOL RD
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
  • 362 clinicians in this Medicare group
Family
1855 GATTIS SCHOOL RD
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
  • 493 clinicians in this Medicare group
Emergency Medicine
2201 S CLEAR CREEK RD
Killeen, TX 76549
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
Urgent Care
22545 STATE HIGHWAY 249 STE 130
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
Emergency Medicine
1535 WEST LOOP S
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 82 clinicians in this Medicare group
Nurse Practitioner
4400 BUFFALO GAP RD FL 1
Abilene, TX 79606
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Regional Physician Services Of Texas PA
  • 396 clinicians in this Medicare group
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
General Acute Care Hospital
275 HOSPITAL DR
Ukiah, CA 95482
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
Pediatrics
600 NW 11TH ST STE E33
Hermiston, OR 97838
  • Reassigned Medicare billing, Oregon enrollment
  • 344 clinicians in this Medicare group
Rural Health
24461 E WELCHES RD
Welches, OR 97067
  • Reassigned Medicare billing, Oregon enrollment
  • 206 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78664 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

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.

Nurse Practitioner (Family)
1855 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Pharmacist
1855 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Physician Assistant
1855 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Nurse Practitioner (Family)
1855 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Nurse Practitioner (Family)
1855 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Nurse Practitioner (Family)
1855 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Nurse Practitioner (Family)
1855 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Nurse Practitioner (Family)
1855 GATTIS SCHOOL RD
ROUND ROCK, TX 78664

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 Terry Buchanan's NPI number?

The NPI number for Terry Buchanan is 1851743165. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Terry Buchanan located?

Terry Buchanan practices at 1855 Gattis School Rd, Round Rock, TX 78664. The listed phone number is (866) 277-2323.

What is Terry Buchanan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Terry Buchanan enrolled in Medicare?

Yes. Terry Buchanan 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 organizations bill Medicare for Terry Buchanan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Buchanan reassigns Medicare benefits to 10 organizations: Minuteclinic Telehealth Services Of Texas Association (Round Rock, TX), Minuteclinic Diagnostic Of Texas PLLC (Round Rock, TX), Emergency Associates Of Central Texas PA (Killeen, TX), Emrd Ventures, PLLC (Houston, TX), Tk Emergency Physicians Group PLLC (Houston, TX) and 5 more organizations, listed in the Medicare section above. Each 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 Terry Buchanan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Buchanan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Terry Buchanan 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 Terry Buchanan was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.