1. Home
  2. Directory
  3. Oregon
  4. Beaverton
  5. Dentist
  6. NPI Profile

DR. ANTHONY B. BOUNEFF D.M.D.
NPI 1972643963
Dentist - Oral and Maxillofacial Surgery in Beaverton, OR

Active since February 07, 2007Opted out of Medicare · through Nov 1, 2027
3925 SW 153RD DR, SUITE #100, BEAVERTON, OR 97006(503) 646-7101(503) 646-7105 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony B. Bouneff D.m.d. NPPES

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

DR. ANTHONY B. BOUNEFF D.M.D. (NPI 1972643963) is an individual oral and maxillofacial surgery provider in Beaverton, Oregon, licensed in Oregon (D6635) and active in the NPI registry since February 2007. He has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972643963
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANTHONY B. BOUNEFFCredential: D.M.D.
Location Address3925 SW 153RD DR, SUITE #100Beaverton, OR 97006-4166
Mailing Address3925 Sw 153rd Dr, Suite #100Beaverton, OR 97006-4166 · (503) 646-7101 · Fax (503) 646-7105
Phone(503) 646-7101
Fax(503) 646-7105
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 17, 2008
✔ NPI 1972643963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OR · D6635
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3925 SW 153RD DR, Beaverton, OR 97006
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINU05985OR
Medicare PINROOWCKFBDOR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Delta Dental Plan of Oregon, Regence BlueCross BlueShield of Oregon.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. Anthony B. Bouneff D.m.d. 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 November 1, 2017 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2017
Opt-Out In Effect ThroughNovember 1, 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 97006 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 2

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

DR. PHILIP P GREEN D.M.D.
Dentist (Oral and Maxillofacial Surgery)
3925 SW 153RD DR, SUITE #100
BEAVERTON, OR 97006
Washington County (503) 646-7101
BEAVERTON ORAL SURGEONS
Clinic/Center (Oral and Maxillofacial Surgery)
3925 SW 153RD DR, SUITE 100
BEAVERTON, OR 97006
Washington County (503) 646-7101

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 Anthony Bouneff's NPI number?

The NPI number for Anthony Bouneff is 1972643963. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Anthony Bouneff located?

Anthony Bouneff practices at 3925 SW 153rd Dr Suite #100, Beaverton, OR 97006. The listed phone number is (503) 646-7101.

What is Anthony Bouneff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Anthony Bouneff enrolled in Medicare?

No. Anthony Bouneff has opted out of Medicare through November 1, 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 Anthony Bouneff accept?

Health plans from BridgeSpan Health Company, Delta Dental Plan of Oregon and Regence BlueCross BlueShield of Oregon list Anthony Bouneff 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 Anthony Bouneff was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.