Individual provider Active NPI

Jerod Alan Buell, DO

  • Family Medicine Physician
  • Elmira, NY
National Provider Identifier
1295230514
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
312893 Issued in NY
Practice address
200 Madison Ave FL 3
Elmira, NY 14901-3219
Phone
(607) 734-1581
Fax
(607) 734-0972
NPI assigned
Mar 28, 2018
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 312893 NY Primary

Addresses

Primary practice location

200 Madison Ave FL 3
Elmira, NY 14901-3219

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210923000562 NY Practitioner - Emergency MedicinePractitioner - Family Practice 4284671520 Reassigns benefits to 1 organization
I20250509001874 PA Practitioner - Family PracticePractitioner - Emergency Medicine 4284671520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corning HospitalGroup PAC ID 9133031925, 42 clinicians
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Robert Packer HospitalGroup PAC ID 8022915180, shared by 5 NPIs, 53 clinicians

Practice addresses (Care Compare)

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 937-7200

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

91 Hospital Dr
Towanda, PA 18848-9702
Phone (570) 265-2191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Packer Hospital CurrentSince May 1, 2025 Accepting new patients
Robert Packer Hospital CurrentSince May 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Nov 17, 2025 Accepting new patients
Corning Hospital CurrentSince May 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Nov 17, 2025 Accepting new patients
Corning Hospital CurrentSince May 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine Current Accepting new patients
Robert Packer Hospital Past Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

1 Guthrie Sq
Ste B
Sayre, PA 18840
Phone (570) 888-6666

91 Hospital Dr
Towanda, PA 18848
Phone (570) 268-2240

Interoperability endpoints

  • Direct secure messaging: jbuell128793@direct-guthrie.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1295230514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050",
            "fax_number": "607-873-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MADISON AVE FL 3",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013219",
            "telephone_number": "607-734-1581",
            "fax_number": "607-734-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELL",
        "first_name": "JEROD",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "312893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.