DR. TESSIE BURACZEWSKI STANSBURY DMD
NPI 1881094068
Dentist - Oral and Maxillofacial Pathology in Portland, ME

Q: 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.

Q: 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.

Q: 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 7 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.

Active since August 25, 2014PECOS EnrolledAccepts Medicare Assignment

716 STEVENS AVE, PORTLAND, ME 04103(207) 221-4737 Get Directions Write a Review

NPPES record last updated: October 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2018, Oct 25, 2017 (2 updates tracked since 2017).

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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

NPI1881094068

Entity TypeIndividualFemale

Primary Taxonomy1223P0106X

Provider Legal NameDR. TESSIE BURACZEWSKI STANSBURYCredential: DMD

Location Address716 STEVENS AVEPortland, ME 04103

Mailing Address324 Gannett Dr Ste 200South Portland, ME 04106-3266 · (207) 482-7800 · Fax (207) 482-7898

Phone(207) 221-4737

Sole ProprietorYes

Medical School CMSUniv Of Pittsburgh School Of Dental MedicineGraduated 2013

Enumeration DateAugust 25, 2014

Last NPPES UpdateOctober 13, 20182 updates tracked since enumeration

✔ NPI 1881094068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in ME · DEN4593

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DS039922 (PA)

716 STEVENS AVE, Portland, ME 04103

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Other Names 1

Former Name (1)Dr. Tessie Buraczewski Dmd

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. 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.

PECOS PAC ID3375897374

PECOS Enrollment IDI20181109001553

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

20 services17 patients

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.

New Patient

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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 20

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

PIPER NOELLA DESORCIE

Student in an Organized Health Care Education/Training Program