DR. TESSIE BURACZEWSKI STANSBURY DMD
NPI 1881094068
Dentist - Oral and Maxillofacial Pathology in Portland, ME
About Dr. Tessie Buraczewski Stansbury Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TESSIE BURACZEWSKI STANSBURY DMD (NPI 1881094068) is an individual oral and maxillofacial pathology provider in Portland, Maine, licensed in Maine (DEN4593) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Univ Of Pittsburgh School Of Dental Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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. Tessie Buraczewski Stansbury Dmd 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 Tessie Stansbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Spectrum Healthcare Partners PA
- 29 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 04103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, ME 04103
PORTLAND, ME 04103
PORTLAND, ME 04103
PORTLAND, ME 04103
PORTLAND, ME 04103
PORTLAND, ME 04103
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 Tessie Stansbury's NPI number?
The NPI number for Tessie Stansbury is 1881094068. It was assigned to this individual provider in the NPPES registry on August 25, 2014. The provider is also known as Dr. Tessie Buraczewski Dmd.
Where is Tessie Stansbury located?
Tessie Stansbury practices at 716 Stevens Ave, Portland, ME 04103. The listed phone number is (207) 221-4737.
What is Tessie Stansbury's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.
Is Tessie Stansbury enrolled in Medicare?
Yes. Tessie Stansbury 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 Tessie Stansbury's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tessie Stansbury reassigns Medicare benefits to Spectrum Healthcare Partners, P.A. (Portland, ME). 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 Tessie Stansbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tessie Stansbury accept?
Health plans from Taro Health list Tessie Stansbury 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 Tessie Stansbury was last updated on October 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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. Tessie Buraczewski Stansbury, DMD · NPI 1881094068
Oral and Maxillofacial Pathology provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since August 25, 2014.
## Identity
- **NPI:** 1881094068 (Entity type: Individual)
- **Enumerated:** August 25, 2014
- **Primary specialty:** Dentist - Oral and Maxillofacial Pathology · taxonomy 1223P0106X
- **State license:** DEN4593 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 716 STEVENS AVE, Portland, ME 04103
- **Phone:** (207) 221-4737
## 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:** Spectrum Healthcare Partners, P.A. (NPI 1386757607, Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Pittsburgh School Of Dental Medicine, class of 2013
## Record status
- **NPPES last updated:** October 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1881094068) · Data from the CMS NPPES public registry.