MARK BUETTNER (PA-C) – Physician Assistant, NPI 1821087826

MARK BUETTNER (PA-C) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50001182 (OH). The NPI Number for MARK BUETTNER (PA-C) is 1821087826

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MARK BUETTNER (PA-C)
NPI
1821087826
Phone
(513) 981-5123
Address
PO BOX 636930
Enumeration Date
21 October 2005
Last Update Date
10 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192269610
Graduation Year
2009 (17 years ago)
PAC ID
6709869811
Group Practice PAC ID
7012332364
Professional Enrollment ID
I20040610000332
Address ID
OH458013988LI830XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for MARK BUETTNER (PA-C)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452630001

    Phone: (513) 981-5123

    Fax: (513) 981-5015

    Type: Mailing

  • Saint Rita Hospital, 730, West Market Street, Lima, Allen County, Ohio, 45801, United States

    2K TOWER

    LIMA, OH 458014602

    Phone: (419) 996-5852

    Fax: (419) 996-5854

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $324.

Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Philips North America LLC ($55).

Total Amount

$324

General + Research + Ownership

Payments

15

Total payment records

General Amount

$324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2004-06-10

PECOS data refreshed: 2026-05-27

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
I20040610000332IPhysician AssistantOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45263)

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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: 7012332364View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineOH
Sleep MedicineOH
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
N E U R O L O G YOH
Nurse PractitionerOH
Nurse PractitionerOH
Radiation OncologyNY
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does MARK BUETTNER (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARK BUETTNER (PA-C) uses 1821087826.
Can I rely on MARK BUETTNER (PA-C) being an active provider?
As of the registry snapshot, MARK BUETTNER (PA-C) is marked active.
What is MARK BUETTNER (PA-C) best known for clinically?
Directory data describes MARK BUETTNER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MARK BUETTNER (PA-C) serve?
MARK BUETTNER (PA-C)'s listing highlights Cincinnati, Ohio; more addresses can appear in NPPES.
Why does MARK BUETTNER (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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