DR. JUAN MANUEL BUGUENO (DDS) – Dentist, NPI 1730150525
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JUAN MANUEL BUGUENO (DDS)
1 COLLEGE ST
PORTLAND, ME 041032617
Phone: (207) 212-4739
Type: Location
Monongalia Arts Center, 107, High Street, Chancery Hill, Morgantown, Monongalia County, West Virginia, 26505, United States
MORGANTOWN, WV 265069465
Phone: (304) 293-4703
Fax: (304) 293-7649
Type: Mailing
64, Morgantown Road, Reading, Berks County, Pennsylvania, 19611, United States
MEDICAL CENTER DR
MORGANTOWN, WV 265069465
Phone: (304) 293-4703
Fax: (304) 293-7649
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191219000867 | I | Dentist | WV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 04103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery | TX | |
| Maxillofacial Surgery | WV | |
| D E N T I S T | WV | |
| Maxillofacial Surgery | WV |
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