Individual provider Active NPI

Jeffrey Alfon Buyten, MD

  • Otolaryngology Physician
  • Norman, OK
National Provider Identifier
1669676268
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
26178 Issued in OK
Practice address
3650 W Rock Creek Rd
110A
Norman, OK 73072-2202
Phone
(405) 364-2666
Fax
(405) 364-9627
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 26178 OK Primary
Otolaryngology Physician 207Y00000X BP2-0016825 TX

Addresses

Primary practice location

3650 W Rock Creek Rd
110A
Norman, OK 73072-2202

Mailing address

3033 NW 63Rd St Ste 152E
Oklahoma City, OK 73116-3607
Phone (405) 755-6651

Other identifiers 1

IdentifierTypeStateIssuer
200202110 AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address OklahomaOtolaryngologyAssociates.JeffreyABuytenMD@advancedmd-direct.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000251 OK Practitioner - Otolaryngology 2567529167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Southwestern Medical School at Dallas, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Otolaryngology Associates LLCGroup PAC ID 9739136102, 15 clinicians

Practice addresses (Care Compare)

2002 12TH Ave NW
Suite D
Ardmore, OK 73401-1206
Phone (405) 364-2666

2100 S Iowa Ave
Chickasha, OK 73018-2736
Phone (405) 224-2100

3650 W Rock Creek Rd
Norman, OK 73072-2202
Phone (405) 364-2666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26178OKMDOtolaryngology Physician
BP2-0016825TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Otolaryngology Associates, LLC CurrentSince Jul 1, 2008 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Oklahoma Otolaryngology Hearing Center Inc PastSince Aug 1, 2013 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2002 12th Ave NW
Ste D
Ardmore, OK 73401
Phone (405) 364-2666

3650 W Rock Creek Rd
Norman, OK 73072
Phone (405) 364-2666

3650 W Rock Creek Rd
#110B
Norman, OK 73072
Phone (405) 755-1930

3650 W Rock Creek Rd
#110A
Norman, OK 73072
Phone (405) 364-2666

Interoperability endpoints

  • Direct secure messaging: oklahomaotolaryngologyassociates.jeffreyabuytenmd@advancedmd-direct.com

Organizations & group practices 5

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

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1669676268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 NW 63RD ST STE 152E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163607",
            "telephone_number": "405-755-6651",
            "fax_number": "405-755-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W ROCK CREEK RD",
            "address_2": "110A",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722202",
            "telephone_number": "405-364-2666",
            "fax_number": "405-364-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYTEN",
        "first_name": "JEFFREY",
        "middle_name": "ALFON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "26178",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "BP2-0016825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200202110 A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "OklahomaOtolaryngologyAssociates.JeffreyABuytenMD@advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3650 W Rock Creek Rd",
            "address_2": "110A",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730722202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.