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Deactivated NPI 1548353584 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey Todd Bucholz , DO

Specialist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeffrey Bucholz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2006
NPI Deactivation Date July 02, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Bucholz, DO was a registered Specialist practicing in Phoenix, AZ. Throughout an active medical career spanning 13 years, Dr. Bucholz provided care at the practice location at 3811 E BELL RD until profile deactivation on 2019-07-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, testing for presence of drug, by chemistry analyzers. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3811 E Bell Rd
Suite 100

Phoenix, AZ 850322138

Telephone 6235168252
Fax 6235168253
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.2 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
196 Specialists

Practicing in Phoenix, AZ (826 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
116 108 $181.00 $103.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
37 37 $185.00 $106.26
99213 Established patient office or other outpatient visit, typically 15 minutes
37 36 $119.00 $71.89
80307 Testing for presence of drug, by chemistry analyzers
32 32 $266.00 $78.21
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
32 32 $310.00 $157.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $280.00 $161.41

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 4217

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023106986

Doctor of Medicine (M.D.)

Sara Enrico , FNP-C

Nurse Practitioner - Family

NPI 1033884762

Family Nurse Practitioner (Certified)

Cheryl Crawford , NP

Nurse Practitioner - Acute Care

NPI 1104412873

Nurse Practitioner

NPI 1184604332

Doctor of Osteopathic Medicine (D.O.)

Hyon Wilson , ACNPC-AG

Nurse Practitioner - Acute Care

NPI 1205351723

ACNPCAG

Levi Porter , PA-C

Physician Assistant

NPI 1225111834

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
⚠️
NPI Profile Deactivated July 02, 2019

Record deactivated on July 02, 2019

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Updated Business Mailing Address March 15, 2019

Registered at 5281 N 99TH AVE STE 100, GLENDALE, AZ 853052209 (Tel: 6235168252)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2019

Pain Medicine (License #4217 in AZ)

NPI Profile Active March 14, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 14, 2014

Registered at 3811 E BELL RD, SUITE 100, PHOENIX, AZ 850322138 (Tel: 6235168252)

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Updated Business Mailing Address March 14, 2014

Registered at 5281 N 99TH AVENUE, SUITE 100, GLENDALE, AZ 853053105 (Tel: 6235168252)

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Provider Name / Credentials Updated March 14, 2014

Recorded as JEFFREY BUCHOLZ, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2014

Specialist (License #4217 in AZ)

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Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548353584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: March 14, 2014
Deactivation Date: July 02, 2019

Mailing Address

5281 N 99th Avenue, Suite 100

Glendale, AZ 853053105

Phone: 6235168252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.