MRS. KATIE L BUFORD (PA-C) – Physician Assistant, NPI 1184809493

MRS. KATIE L BUFORD (PA-C) is a healthcare provider. based in Irving, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA02097 (TX). The NPI Number for MRS. KATIE L BUFORD (PA-C) is 1184809493

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATIE L BUFORD (PA-C)
NPI
1184809493
Phone
(214) 394-0029
Address
4301 SAINT ANDREWS BLVD
Enumeration Date
4 January 2008
Last Update Date
19 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8444641611
Graduation Year
1997 (29 years ago)
PAC ID
5991943292
Group Practice PAC ID
7618295007
Professional Enrollment ID
I20130528000552
Address ID
TX750788889PR1000XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MRS. KATIE L BUFORD (PA-C)

  • 4301, Saint Andrew's Boulevard, Irving, Dallas County, Texas, 75038, United States

    IRVING, TX 750386444

    Phone: (214) 394-0029

    Fax: (214) 853-4644

    Type: Mailing

  • 2000, North Carroll Avenue, Old East Dallas, Dallas, TX, Dallas, Dallas County, Texas, 75204, United States

    DALLAS, TX 752046607

    Phone: (214) 824-7744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2023-07-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($23).

Total Amount

$90

General + Research + Ownership

Payments

5

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-20

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: 2013-05-28

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
I20130528000552IPhysician AssistantTXTBD

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 75038)

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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: 7618295007View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is MRS. KATIE L BUFORD (PA-C)'s NPI number?
MRS. KATIE L BUFORD (PA-C)'s NPI is 1184809493 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MRS. KATIE L BUFORD (PA-C)?
For scheduling context, MRS. KATIE L BUFORD (PA-C) is shown as active in the registry.
What area of care is associated with MRS. KATIE L BUFORD (PA-C)?
MRS. KATIE L BUFORD (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. KATIE L BUFORD (PA-C)?
Travel planning: use Irving, Texas as the reference point for MRS. KATIE L BUFORD (PA-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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