DR. ADAM BUFFINGTON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1396197604

DR. ADAM BUFFINGTON (DPM) is a healthcare provider. based in Bloomington, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016005830 (IL). The NPI Number for DR. ADAM BUFFINGTON (DPM) is 1396197604

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM BUFFINGTON (DPM)
NPI
1396197604
Phone
(309) 663-6461
Address
1111 Trinity Ln
Enumeration Date
11 July 2016
Last Update Date
27 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157580000
Graduation Year
2016 (10 years ago)
PAC ID
7214224252
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20190514002708
Address ID
IL601783125SY2111XCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,039 PODIATRY in IL

Provider Addresses for DR. ADAM BUFFINGTON (DPM)

  • 1111 Trinity Ln

    Bloomington, IL 617048111

    Phone: (309) 663-6461

    Type: Location

  • 5666 E State St

    Rockford, IL 611082425

    Phone: (815) 226-2000

    Type: Location

  • 7348, Wallingford Way, Rockford, Winnebago County, Illinois, 61107, United States

    ROCKFORD, IL 611072712

    Phone:

    Type: Mailing

  • 611 W. PARK ST.

    FACP

    URBANA, IL 61801

    Phone:

    Type: Mailing

  • 750 E TERRA COTTA AVE STE C

    CRYSTAL LAKE, IL 60014

    Phone: (847) 639-5800

    Fax: (815) 526-3467

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $5,488.

Total Amount is formed as General ($5,488) + Research ($0) + Ownership ($0) = $5,488.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Stryker Corporation ($4,741).

Total Amount

$5,488

General + Research + Ownership

Payments

61

Total payment records

General Amount

$5,488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190514002708IPodiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes175129$0
99213Established patient office or other outpatient visit, 20-29 minutes12784$0
99204New patient office or other outpatient visit, 45-59 minutes122122$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11443$0
J1100Injection, dexamethasone sodium phosphate, 1 mg11243$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890696231View full group profile
NameSpecialtyState
Vascular SurgeryIL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
-IL
Physician AssistantIL
Nurse PractitionerIL
Orthopedic SurgeryIL
D E R M A T O L O G YIL
Hand SurgeryPA

Reviews

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Frequently asked questions

Can I verify DR. ADAM BUFFINGTON (DPM) with an NPI only?
You can start verification with NPI 1396197604 for DR. ADAM BUFFINGTON (DPM), then check state licensing separately.
Is DR. ADAM BUFFINGTON (DPM) still practicing?
DR. ADAM BUFFINGTON (DPM) is currently listed as active in the public NPI registry.
What is DR. ADAM BUFFINGTON (DPM)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for DR. ADAM BUFFINGTON (DPM) here. Clinical services aligned with this taxonomy classification.
Where is DR. ADAM BUFFINGTON (DPM) based?
DR. ADAM BUFFINGTON (DPM) is tied to Bloomington, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about DR. ADAM BUFFINGTON (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."