DR. ANDREA DAWN BUCHBAUM (O.D.) – Optometrist, NPI 1992954531

DR. ANDREA DAWN BUCHBAUM (O.D.) is a healthcare provider. based in Overland park, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1802 (KS). The NPI Number for DR. ANDREA DAWN BUCHBAUM (O.D.) is 1992954531

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA DAWN BUCHBAUM (O.D.)
NPI
1992954531
Phone
(913) 339-9090
Address
10120 W. 119TH STREET
Enumeration Date
18 September 2008
Last Update Date
17 August 2015

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9134409819
Graduation Year
2008 (18 years ago)
PAC ID
3577743368
Group Practice PAC ID
1850514068
Professional Enrollment ID
I20110210001177
Address ID
KS660623932OL16021DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

532 OPTOMETRY in KS

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Provider Addresses for DR. ANDREA DAWN BUCHBAUM (O.D.)

  • 10120, West 119th Street, Overland Park, Johnson County, Kansas, 66213, United States

    OVERLAND PARK, KS 662131600

    Phone: (913) 339-9090

    Fax: (913) 339-6417

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($122).

Total Amount

$189

General + Research + Ownership

Payments

7

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

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: 2011-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (956 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20110210001177IOptometryKS2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
92014Established patient complete exam of visual system7468$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 66213)

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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: 1850514068View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS

Reviews

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Frequently asked questions

How do payers reference DR. ANDREA DAWN BUCHBAUM (O.D.)?
For DR. ANDREA DAWN BUCHBAUM (O.D.), use NPI 1992954531 as the unique 10-digit identifier.
Would DR. ANDREA DAWN BUCHBAUM (O.D.) appear as active to a payer?
You can treat DR. ANDREA DAWN BUCHBAUM (O.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. ANDREA DAWN BUCHBAUM (O.D.)'s focus?
For DR. ANDREA DAWN BUCHBAUM (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. ANDREA DAWN BUCHBAUM (O.D.) located near Overland Park?
DR. ANDREA DAWN BUCHBAUM (O.D.) currently maps to Overland Park, Kansas in this extract.
When was this NPI issued?
Enumeration for DR. ANDREA DAWN BUCHBAUM (O.D.) is noted as September 18, 2008 where the registry provides it.