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DR. PAUL MICHAEL THORSEN BUCK D.D.S., M.D.
NPI 1992063093
Oral & Maxillofacial Surgery in New Brighton, MN

Active since April 26, 2012Opted out of Medicare · through Mar 29, 2028
550 COUNTY ROAD D W STE 12, NEW BRIGHTON, MN 55112(612) 788-9246 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Aug 13, 2022, Oct 20, 2021 and 3 more (6 updates tracked since 2018).

About Dr. Paul Michael Thorsen Buck D.d.s., M.d. NPPES

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

DR. PAUL MICHAEL THORSEN BUCK D.D.S., M.D. (NPI 1992063093) is an individual oral & maxillofacial surgery provider in New Brighton, Minnesota, licensed in Minnesota (D13762) and active in the NPI registry since April 2012. He has opted out of Medicare through March 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992063093
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. PAUL MICHAEL THORSEN BUCKCredential: D.D.S., M.D.
Location Address550 COUNTY ROAD D W STE 12New Brighton, MN 55112-3517
Mailing Address550 County Road D W Ste 12New Brighton, MN 55112-3517 · (612) 788-9246
Phone(612) 788-9246
Sole ProprietorNo
Enumeration DateApril 26, 2012
Last NPPES UpdateOctober 11, 20236 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1992063093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in MN · D13762✔ Licensed in OR · PG173069
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License D9768 (OR)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DE60827554 (WA), D9768 (OR)
550 COUNTY ROAD D W STE 12, New Brighton, MN 55112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Paul Michael Thorsen Buck D.d.s., 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 March 29, 2024 through March 29, 2028.

Opt-Out Effective DateMarch 29, 2024
Opt-Out In Effect ThroughMarch 29, 2028Opt-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.

Other Providers at the Same Location NPPES

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

DR. TYLER JOHN VARHOL DDS
Dentist (Oral and Maxillofacial Surgery)
550 COUNTY ROAD D W STE 12
NEW BRIGHTON, MN 55112
Ramsey County (127) 889-2466

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 Paul Buck's NPI number?

The NPI number for Paul Buck is 1992063093. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Paul Buck located?

Paul Buck practices at 550 County Road D W Ste 12, New Brighton, MN 55112. The listed phone number is (612) 788-9246.

What is Paul Buck's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Paul Buck enrolled in Medicare?

No. Paul Buck has opted out of Medicare through March 29, 2028. 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 Paul Buck accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Paul Buck 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 Paul Buck was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.