DR. MARY VIRGINIA MAYO BUCKMAN DDS
NPI 1891145546
Dentist in Fayetteville, NC

Q: What is Mary Virginia Buckman's NPI number?

The NPI number for Mary Virginia Buckman is 1891145546. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Mary Virginia Buckman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Mary Virginia Buckman enrolled in Medicare?

No. Mary Virginia Buckman has opted out of Medicare through September 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since June 14, 2016Opted out of Medicare · through Sep 23, 2027

2500 VILLAGE DR, STE 101, FAYETTEVILLE, NC 28304(910) 487-0807(910) 487-0389 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2021, Mar 13, 2017, Jun 14, 2016 (3 updates tracked since 2016).

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About Dr. Mary Virginia Mayo Buckman Dds NPPES

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

DR. MARY VIRGINIA MAYO BUCKMAN DDS (NPI 1891145546) is an individual dentist in Fayetteville, North Carolina, licensed in North Carolina (10320) and active in the NPI registry since June 2016. She has opted out of Medicare through September 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891145546

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MARY VIRGINIA MAYO BUCKMANCredential: DDS

Location Address2500 VILLAGE DR, STE 101Fayetteville, NC 28304-3748

Mailing Address2500 Village Dr, Ste 101Fayetteville, NC 28304-3748 · (910) 487-0807 · Fax (910) 487-0389

Phone(910) 487-0807

Fax(910) 487-0389

Sole ProprietorNo

Enumeration DateJune 14, 2016

Last NPPES UpdateJune 8, 20213 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1891145546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 10320

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2500 VILLAGE DR, Fayetteville, NC 28304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Virginia Mayo Buckman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 23, 2019 through September 23, 2027.

Opt-Out Effective DateSeptember 23, 2019

Opt-Out In Effect ThroughSeptember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 3

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

VENUGOPAL NAIDU GADIPUDI M.D.

Psychiatry & Neurology (Neurology)

2500 VILLAGE DR, STE 102
FAYETTEVILLE, NC 28304

Cumberland County (910) 484-0029

JOSEPH N. CATLETT, JR., D.D.S., P.A.

Dentist (General Practice)

2500 VILLAGE DR, SUITE 101
FAYETTEVILLE, NC 28304

Cumberland County (910) 487-0807

CAROLINA NEUROLOGY ASSOCIATES, PLLC

Psychiatry & Neurology (Neurology)

2500 VILLAGE DR, SUITE 102
FAYETTEVILLE, NC 28304

Cumberland County (910) 484-0029

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 Mary Virginia Buckman's NPI number?

The NPI number for Mary Virginia Buckman is 1891145546. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Mary Virginia Buckman located?

Mary Virginia Buckman practices at 2500 Village Dr Ste 101, Fayetteville, NC 28304. The listed phone number is (910) 487-0807.

What is Mary Virginia Buckman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mary Virginia Buckman enrolled in Medicare?

No. Mary Virginia Buckman has opted out of Medicare through September 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mary Virginia Buckman accept?

Health plans from Delta Dental of North Carolina list Mary Virginia Buckman 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 Mary Virginia Buckman was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.