Active NPI 1447215264 Individual Practitioner Male Practitioner

Dr. Billy Joe Buffington , MD

Emergency Medicine • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Billy Buffington, MD is a registered healthcare professional specializing in Emergency Medicine in Edmond, OK. Practice services are available at 1714 S KELLY AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, routine ekg using at least 12 leads including interpretation and report, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1714 S Kelly Ave

Edmond, OK 730133624

Telephone 4052163993

Fax 4052163992

Associated Practice Facility / Clinic

🏢 Physiciancare P M Llc Facility NPI 1740359520

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Edmond, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.5 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Edmond, OK (784 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.3% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	217	178	$220.28	$114.14
93000 Routine ekg using at least 12 leads including interpretation and report	111	88	$21.57	$12.93
99285 Emergency department visit for life threatening or functioning severity	20	20	$256.00	$165.66
99283 Emergency department visit with low level of medical decision making	19	19	$105.00	$67.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	144	18	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	46	$304.00	$119.30
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$215.00	$82.80
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	27	27	$283.00	$34.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	22	$34.00	$13.09
87502 Detection test by nucleic acid for multiple types influenza virus	19	19	$240.00	$93.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$395.00	$155.99
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$103.00	$16.20
81003 Automated urinalysis test	13	13	$75.00	$2.20

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	135	109	$305.08	$117.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg	88	11	$35.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	20	$35.00	$1.07
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	84	81	$113.05	$42.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$396.21	$158.21
99213 Established patient office or other outpatient visit, typically 15 minutes	43	41	$216.00	$83.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	35	$35.00	$12.98
87502 Detection test by nucleic acid for multiple types influenza virus	33	33	$240.00	$91.82
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	31	$41.00	$15.83
81003 Automated urinalysis test	27	26	$27.00	$2.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$265.40	$105.19
99284 Emergency department visit with moderate level of medical decision making	20	19	$1157.30	$118.67
71046 X-ray of chest, 2 views	16	16	$81.00	$29.06
99285 Emergency department visit for life threatening or functioning severity	11	11	$1704.82	$172.66

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	182	142	$258.02	$121.48
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	134	134	$114.31	$44.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$386.72	$159.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	93	24	$39.56	$1.26
99284 Emergency department visit with moderate level of medical decision making	84	73	$1158.12	$119.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg	84	11	$33.10	$0.14
99285 Emergency department visit for life threatening or functioning severity	65	57	$1707.97	$174.36
99283 Emergency department visit with low level of medical decision making	60	54	$619.47	$70.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	48	$53.74	$12.49
99213 Established patient office or other outpatient visit, typically 15 minutes	43	41	$186.72	$85.21
87502 Detection test by nucleic acid for multiple types influenza virus	40	40	$237.75	$95.80
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	36	36	$41.39	$16.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$264.71	$106.34
81003 Automated urinalysis test	25	25	$28.68	$2.25
71046 X-ray of chest, 2 views	22	22	$93.29	$30.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$379.60	$166.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$84.00	$8.05

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	293	213	$263.83	$103.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg	248	32	$15.00	$0.12
99284 Emergency department visit with moderate level of medical decision making	122	116	$1166.39	$118.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	26	$83.75	$1.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$363.01	$155.39
99283 Emergency department visit with low level of medical decision making	75	69	$619.47	$65.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	67	$41.32	$13.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$263.14	$101.10
81003 Automated urinalysis test	49	45	$64.19	$2.15
71046 X-ray of chest, 2 views	36	36	$77.77	$29.49
87502 Detection test by nucleic acid for multiple types influenza virus	35	35	$150.00	$91.53
87651 Detection test for Strep (Streptococcus, group A)	33	33	$65.00	$33.60
36415 Insertion of needle into vein for collection of blood sample	31	30	$61.29	$2.99
99285 Emergency department visit for life threatening or functioning severity	27	26	$1706.56	$174.27
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$185.88	$73.34
J1040 Injection, methylprednisolone acetate, 80 mg	15	15	$127.20	$11.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$80.00	$7.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	471	66	$22.27	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	234	$252.84	$103.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	169	134	$43.73	$15.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	35	$71.19	$1.44
J0696 Injection, ceftriaxone sodium, per 250 mg	112	28	$34.86	$0.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$387.73	$154.81
J1885 Injection, ketorolac tromethamine, per 15 mg	74	14	$69.05	$0.56
71046 X-ray of chest, 2 views	68	68	$81.18	$29.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	58	30	$59.97	$15.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$262.34	$102.01
81003 Automated urinalysis test	49	47	$60.89	$2.44
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	49	19	$60.06	$0.04
99284 Emergency department visit with moderate level of medical decision making	45	41	$1166.38	$116.43
J1040 Injection, methylprednisolone acetate, 80 mg	44	44	$112.63	$11.97
99283 Emergency department visit with low level of medical decision making	43	41	$618.00	$61.33
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	25	25	$82.56	$15.55
94640 Inhalation treatment for airway obstruction or sputum production	20	20	$45.09	$16.29
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	18	18	$22.92	$0.20
87651 Detection test for Strep (Streptococcus, group A)	17	17	$65.00	$38.21
36415 Insertion of needle into vein for collection of blood sample	15	15	$57.50	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	14	$76.57	$8.46
80053 Blood test, comprehensive group of blood chemicals	13	13	$126.38	$11.51
87502 Detection test by nucleic acid for multiple types influenza virus	12	12	$150.00	$93.88

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	451	221	$219.78	$95.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg	422	52	$5.75	$0.11
80305 Testing for presence of drug, read by direct observation	208	35	$57.61	$12.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	196	196	$360.00	$146.96
87804 Detection test by immunoassay with direct visual observation for influenza virus	144	70	$37.00	$14.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	85	$54.00	$17.65
71046 X-ray of chest, 2 views	71	69	$95.00	$26.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	53	14	$14.42	$1.55
J0696 Injection, ceftriaxone sodium, per 250 mg	52	13	$16.15	$0.58
J1040 Injection, methylprednisolone acetate, 80 mg	48	45	$52.42	$12.74
81003 Automated urinalysis test	42	41	$27.86	$2.52
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	38	38	$47.11	$15.77
36415 Insertion of needle into vein for collection of blood sample	20	18	$25.00	$2.53
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	16	$32.00	$7.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$223.94	$99.22
94640 Inhalation treatment for airway obstruction or sputum production	12	12	$160.00	$16.29
80053 Blood test, comprehensive group of blood chemicals	11	11	$53.00	$10.80

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	802	222	$179.43	$92.47
80305 Testing for presence of drug, read by direct observation	285	45	$72.04	$14.30
J1100 Injection, dexamethasone sodium phosphate, 1 mg	222	28	$6.41	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	166	82	$36.34	$20.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	113	$314.31	$140.72
87804 Detection test by immunoassay with direct visual observation for influenza virus	95	51	$36.98	$15.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	31	$10.50	$1.78
J0696 Injection, ceftriaxone sodium, per 250 mg	77	18	$17.51	$0.63
J1885 Injection, ketorolac tromethamine, per 15 mg	56	11	$27.00	$0.66
71020 X-ray of chest, 2 views, front and side	44	41	$90.09	$23.15
36415 Insertion of needle into vein for collection of blood sample	38	36	$17.13	$2.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	35	33	$44.83	$14.95
81003 Automated urinalysis test	34	30	$26.74	$3.02
J1040 Injection, methylprednisolone acetate, 80 mg	32	24	$62.19	$10.28
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$105.15	$63.81
J1030 Injection, methylprednisolone acetate, 40 mg	24	20	$30.08	$5.68
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	15	14	$48.00	$8.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$188.36	$89.33
80053 Blood test, comprehensive group of blood chemicals	13	13	$53.00	$14.20
94640 Inhalation treatment for airway obstruction or sputum production	12	11	$185.83	$14.13

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OK 15483

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100101440A (OK)

Commercial Insurance / Payer ID Rr Medicare

P00021467 (OK)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Aaron Wallace

Peer Specialist

NPI 1811889132

Valerie Stockton , PA

Physician Assistant

NPI 1811995947

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2014

Registered at 1714 S KELLY AVE, EDMOND, OK 730133624 (Tel: 4052163993)

📍

Updated Business Mailing Address January 16, 2014

Registered at 1714 S KELLY AVE, EDMOND, OK 730133624 (Tel: 4052163993)

👤

Provider Name / Credentials Updated January 16, 2014

Recorded as BILLY BUFFINGTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2014

Emergency Medicine (License #15483 in OK)

🟢

Initial NPI Registration & Enumeration April 18, 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: 1447215264

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 18, 2006

Last Update: January 16, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1714 S Kelly Ave

Edmond, OK 730133624

Phone: 4052163993

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.