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TOMMY RICHARD BUCHANAN JR. M.D.
NPI 1982992095
Obstetrics & Gynecology - Gynecologic Oncology in Willow Grove, PA

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
3941 COMMERCE AVE, WILLOW GROVE, PA 19090(215) 481-4000(215) 576-0740 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tommy Richard Buchanan Jr. M.d. NPPES

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

TOMMY RICHARD BUCHANAN JR. M.D. (NPI 1982992095) is an individual gynecologic oncology provider in Willow Grove, Pennsylvania, licensed in Pennsylvania (MD470602) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1982992095
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameTOMMY RICHARD BUCHANAN JR.Credential: M.D.
Location Address3941 COMMERCE AVEWillow Grove, PA 19090-1104
Mailing Address2500 Maryland Rd Ste 400Willow Grove, PA 19090-1225 · (215) 481-4143 · Fax (215) 481-6790
Phone(215) 481-4000
Fax(215) 576-0740
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 11, 2011
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1982992095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in PA · MD470602
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 38684 (SC)
3941 COMMERCE AVE, Willow Grove, PA 19090
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Tommy Richard Buchanan Jr. M.d. 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 ID2567762826
PECOS Enrollment IDI20200716004092
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

3

Medicare enrollment records show Tommy Buchanan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Abington Memorial Hospital
3.0 mi
Gynecologic Oncology
1245 HIGHLAND AVE STE 109
Abington, PA 19001
NPI 1366835571 (215) 481-2000
Via Affiliates
5.1 mi
Psychologist
847 EASTON RD STE 2900
Warrington, PA 18976
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 268 clinicians in this Medicare group
NPI 1588489272 (267) 864-0020
Aria Health Physician Services
6.8 mi
Internal Medicine
11726 BUSTLETON AVE
Philadelphia, PA 19116
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 490 clinicians in this Medicare group
NPI 1134436231 (215) 677-0501

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
162 services94 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
160 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19090 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

AUDREY MOODY LSW
Social Worker (Clinical)
3941 COMMERCE AVE
WILLOW GROVE, PA 19090
Montgomery County (215) 481-5450
SARAH AUGUSTA DANIELS CRNP
Nurse Practitioner (Acute Care)
3941 COMMERCE AVE
WILLOW GROVE, PA 19090
Montgomery County (215) 481-4000
DR. ELIZABETH BURTON
Obstetrics & Gynecology (Gynecologic Oncology)
3941 COMMERCE AVE
WILLOW GROVE, PA 19090
Montgomery County (215) 481-4000
MITCHELL I EDELSON M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
3941 COMMERCE AVE
WILLOW GROVE, PA 19090
Montgomery County (215) 481-4000
KEVIN YE HOU M.D.
Internal Medicine (Hematology & Oncology)
3941 COMMERCE AVE
WILLOW GROVE, PA 19090
Montgomery County (215) 481-2400
METHODIST ASSOCIATES IN HEALTHCARE, INC
Radiology (Radiation Oncology)
3941 COMMERCE AVE
WILLOW GROVE, PA 19090
Montgomery County (215) 481-2800
MARY LUNDY LCSW
Social Worker (Clinical)
3941 COMMERCE AVE
WILLOW GROVE, PA 19090
Montgomery County (215) 481-2579
ALI ZAHIR
Nurse Practitioner (Gerontology)
3941 COMMERCE AVE
WILLOW GROVE, PA 19090
Montgomery County (215) 290-6969

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 Tommy Buchanan's NPI number?

The NPI number for Tommy Buchanan is 1982992095. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Tommy Buchanan located?

Tommy Buchanan practices at 3941 Commerce Ave, Willow Grove, PA 19090. The listed phone number is (215) 481-4000.

What is Tommy Buchanan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Tommy Buchanan enrolled in Medicare?

Yes. Tommy 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 Tommy Buchanan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tommy Buchanan reassigns Medicare benefits to 3 organizations: Abington Memorial Hospital (Abington, PA), Via Affiliates (Warrington, PA) and Aria Health Physician Services (Philadelphia, PA). 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 Tommy Buchanan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tommy Buchanan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tommy 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.

Is Tommy Buchanan affiliated with any hospitals?

According to CMS data, Tommy Buchanan is affiliated with Lansdale Hospital, Thomas Jefferson University Hospital, Doylestown Hospital, Abington Memorial Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Tommy Buchanan was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.