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Roman P Bukachevsky, MD

Otolaryngology · Templeton

NPI 1205836954

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
40 years
Rutgers New Jersey Medical School, 1986

Offices

2 locations · David B. Hammer · 117 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Bukachevsky’s office at (805) 434-5960 to ask if they take your plan before you enroll.

California Medical Board record

Licence G71259 · Current

Licensed to practise in California · since 1991 · expires 2026-12-31 · Umdnj New Jersey Medical School.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Surgery centers they own

  • Central Coast Facial Surgery CenterAmbulatory Surgery Center · Templeton, CA100% owner since 2014 · accredited by AAAASF
    Initial Accreditation1 inspection, 1 with deficiencies · last 2017-07-19: Requirements Met
  • Templeton Surgery Center, LLC (UPSI)Ambulatory Surgery Center · Templeton, CAOwner · accredited by JC
    Accreditation RenewedNo inspections published

Original Medicare doctor bills

$164,691

Medicare paid this office $164,691 for 538 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)288$41,880$91
New patient visit (45+ min)209$23,997$115
Creation of flap graft to midface26$17,238$663
Creation of flap graft to head and/or neck14$10,337$738
Creation of flap graft to nose, forehead, temple, or scalp14$10,270$734
See all 13 services
Every Original Medicare service billed
Return visit (30+ min)288$41,880$91
New patient visit (45+ min)209$23,997$115
Creation of flap graft to midface26$17,238$663
Creation of flap graft to head and/or neck14$10,337$738
Creation of flap graft to nose, forehead, temple, or scalp14$10,270$734
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less13$6,897$493
Removal of impacted ear wax158$6,588$34
Long return visit (40+ min)50$6,583$124
New patient visit (60+ min)33$5,023$152
Diagnostic exam of voice box using a flexible endoscope41$4,321$96
Short return visit (20+ min)49$3,155$57
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm11$3,083$280
New patient visit (30+ min)16$1,261$79

Procedures Medicare counted

Procedure volume Medicare published
Melanoma (skin cancer) excision30More than 80% of doctors who do this

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Removal of impacted ear wax123100113162141192
Diagnostic exam of voice box using a flexible endoscope664046425045
Creation of flap graft to midface351212192226
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less261517212814
Creation of flap graft to head and/or neck–15–181914
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm19–––2011

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

538 Original Medicare patients in 2024. Average age 77 · Women 53% · Health risk score 0.88. At or below the middle of the specialty; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 68% · Coronary heart disease 22% · Diabetes 20% · Cancer 15% · Atrial fibrillation 15% · Chronic kidney disease 14% · Depression 13% · Heart failure 11% · COPD 10% · Stroke 6% · Dementia 4%.

The office billed $265,541, Medicare allowed $217,900 and paid $164,691; for 1,230 services of 41 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20245381,230770.88$265,541$164,691
20235681,310770.86$266,466$179,535
20224861,113780.90$209,188$140,036
2021461998780.96$177,431$121,314
2020416932781.02$176,561$113,889
20195091,170781.03$238,187$143,960
20185041,141771.01$179,245$117,537
20174421,028771.09$205,825$119,093
20164291,009771.07$207,624$117,270
20154521,261771.13$214,853$139,193
20145091,627770.99$290,016$171,976
20134901,593771.00$216,336$135,003

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 13 services

Original Medicare services billed in 2023
Return visit (30+ min)187$28,465$101
Short return visit (20+ min)227$21,927$68
New patient visit (30+ min)253$21,524$85
Creation of flap graft to midface22$16,483$749
Creation of flap graft to head and/or neck19$15,861$835
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less28$15,005$536
Creation of flap graft to nose, forehead, temple, or scalp11$8,956$814
New patient visit (45+ min)47$6,366$135
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm20$6,259$313
Diagnostic exam of voice box using a flexible endoscope46$5,459$109
Removal of impacted ear wax116$5,351$38
Long return visit (40+ min)16$2,356$147
New patient visit (60+ min)11$1,819$165

2022: 10 services

Original Medicare services billed in 2022
Short return visit (20+ min)255$28,202$68
New patient visit (30+ min)199$17,059$86
Creation of flap graft to head and/or neck18$15,185$844
Creation of flap graft to midface18$14,327$754
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less20$10,931$521
Return visit (30+ min)82$10,084$102
Removal of impacted ear wax145$5,966$37
Diagnostic exam of voice box using a flexible endoscope37$4,473$107
New patient visit (45+ min)28$3,719$133
New patient visit (15+ min)22$1,224$56

2021: 9 services

Original Medicare services billed in 2021
Short return visit (20+ min)277$29,871$70
New patient visit (30+ min)139$12,758$92
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less16$9,391$552
Creation of flap graft to midface11$9,150$763
Diagnostic exam of voice box using a flexible endoscope44$4,871$106
New patient visit (15+ min)82$4,649$57
Return visit (30+ min)38$4,308$96
Removal of impacted ear wax104$4,268$38
New patient visit (45+ min)16$1,829$114

2020: 10 services

Original Medicare services billed in 2020
Short return visit (20+ min)259$22,213$53
Creation of flap graft to head and/or neck14$12,842$856
Creation of flap graft to nose, forehead, temple, or scalp11$9,047$822
Creation of flap graft to midface12$8,679$723
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less15$8,253$550
New patient visit (15+ min)129$6,677$52
New patient visit (30+ min)49$4,226$86
Diagnostic exam of voice box using a flexible endoscope35$4,011$100
Removal of impacted ear wax87$3,547$35
Return visit (30+ min)24$2,323$89

2019: 9 services

Original Medicare services billed in 2019
Creation of flap graft to midface33$25,959$742
Short return visit (20+ min)280$25,389$54
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less25$13,229$509
New patient visit (15+ min)176$9,642$55
New patient visit (30+ min)86$7,220$84
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm17$5,996$316
Diagnostic exam of voice box using a flexible endoscope58$5,718$87
Removal of impacted ear wax113$4,390$36
Return visit (30+ min)23$2,073$86

2018: 12 services

Original Medicare services billed in 2018
Short return visit (20+ min)266$24,398$55
New patient visit (15+ min)235$13,287$57
Creation of flap graft to head and/or neck13$11,203$862
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less19$10,538$555
Creation of flap graft to midface11$9,070$756
Diagnostic exam of voice box using a flexible endoscope64$7,442$90
New patient visit (30+ min)41$3,553$87
Removal of impacted ear wax70$2,708$35
Return visit (30+ min)11$975$89
Comprehensive hearing and speech recognition test29$904$30
Short return visit19$546$29
Test for eardrum and muscle function29$516$17

2017: 9 services

Original Medicare services billed in 2017
Muscle flap wound repair at head and neck46$44,519$909
Short return visit (20+ min)171$12,488$53
New patient visit (15+ min)175$9,288$53
Removal of impacted ear wax152$8,412$33
Diagnostic exam of voice box using a flexible endoscope53$6,052$88
Diagnostic exam of nasal passages using an endoscope13$2,200$157
Comprehensive hearing and speech recognition test29$872$30
Short return visit20$613$31
Test for eardrum and muscle function29$487$17

2016: 10 services

Original Medicare services billed in 2016
Muscle flap wound repair at head and neck46$42,937$895
Short return visit (20+ min)171$12,128$52
Removal of impacted ear wax155$8,311$33
New patient visit (15+ min)150$8,193$55
Diagnostic exam of voice box using a flexible endoscope63$6,736$90
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm14$4,545$325
New patient visit (30+ min)19$1,371$72
Comprehensive hearing and speech recognition test24$711$30
Short return visit12$430$33
Test for eardrum and muscle function25$384$15

2015: 13 services

Original Medicare services billed in 2015
Muscle flap wound repair at head and neck43$42,428$903
Short return visit (20+ min)261$23,046$55
New patient visit (15+ min)175$9,731$56
Removal of impacted ear wax164$9,400$38
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm16$5,671$315
Diagnostic exam of voice box using a flexible endoscope55$5,481$91
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm12$3,198$266
Control of bleeding of nose using an endoscope11$2,580$215
Return visit (30+ min)17$1,506$89
Comprehensive hearing and speech recognition test39$1,160$29
New patient visit (30+ min)14$1,082$77
Test for eardrum and muscle function42$709$16
Short return visit19$661$35

2014: 11 services

Original Medicare services billed in 2014
Muscle flap wound repair at head and neck45$47,629$916
Short return visit (20+ min)297$24,888$52
New patient visit (15+ min)208$11,446$55
Removal of impacted ear wax187$10,533$36
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm30$9,797$316
Diagnostic exam of voice box using a flexible endoscope76$8,393$93
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm12$3,427$264
New patient visit (30+ min)30$2,398$80
Comprehensive hearing and speech recognition test57$1,712$29
Test for eardrum and muscle function57$953$16
Short return visit26$759$28

2013: 11 services

Original Medicare services billed in 2013
Short return visit (20+ min)292$26,299$54
Muscle flap wound repair at head and neck28$25,893$893
Removal of impacted ear wax183$11,628$41
New patient visit (15+ min)199$10,916$55
Diagnostic exam of voice box using a flexible endoscope71$8,897$96
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm18$6,323$316
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm11$2,887$262
New patient visit (30+ min)23$2,019$88
Comprehensive hearing and speech recognition test60$1,774$29
Short return visit40$1,337$31
Test for eardrum and muscle function66$1,097$16

Drugs they prescribed that Part D paid

$7,454

Pharmacies billed $7,454 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 4% of their Part D prescriptions (14 of 345) in 2024. Above the middle of the specialty; the typical otolaryngology clinician is at 4%.

339 generic and fewer than 11 brand-name prescriptions · $7,454 in drug cost · 30 antibiotic prescriptions to 29 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Neomycin-Polymyxin-Hc24$1,298$54
Neomycin-Polymyxin-Hydrocort20$1,087$54
Azelastine-Fluticasone14$1,028$73
Ipratropium35$954$27
Mupirocin118$806$7
See all 10 drugs
Every Part D drug this clinician prescribed
Neomycin-Polymyxin-Hc24$1,298$54
Neomycin-Polymyxin-Hydrocort20$1,087$54
Azelastine-Fluticasone14$1,028$73
Ipratropium35$954$27
Mupirocin118$806$7
Fluticasone Propionate12$257$21
Methylprednisolone22$111$5
Valacyclovir15$59$4
Acetaminophen-Codeine12$51$4
Cephalexin18$43$2

Year by year

Part D prescribing by year
20243451634% (14)None$7,454
20233191614% (14)None$6,607
20222651289% (25)None$4,766
20212461158% (19)None$4,477
20202751089% (25)None$4,099
201934013510% (35)3%$7,019
20182991238% (24)None$7,216
20172831169% (24)None$9,188
20162861157% (21)8%$9,144
201532511510% (33)9%$11,119
201437813616% (61)11%$9,910
201326710614% (36)17%$9,549

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 9 drugs

Part D drugs prescribed in 2023
Neomycin-Polymyxin-Hc22$1,427$65
Neomycin-Polymyxin-Hydrocort15$1,056$70
Mupirocin99$867$9
Ipratropium22$762$35
Methylprednisolone35$367$10
Fluticasone Propionate13$115$9
Acetaminophen-Codeine14$87$6
Cephalexin23$81$4
Omeprazole11$44$4

2022: 6 drugs

Part D drugs prescribed in 2022
Mupirocin93$681$7
Methylprednisolone16$139$9
Cephalexin32$132$4
Amoxicillin-Clavulanate Potass12$125$10
Valacyclovir11$107$10
Acetaminophen-Codeine15$102$7

2021: 4 drugs

Part D drugs prescribed in 2021
Mupirocin58$471$8
Cephalexin46$195$4
Acetaminophen-Codeine17$181$11
Methylprednisolone14$125$9

2020: 6 drugs

Part D drugs prescribed in 2020
Mupirocin69$465$7
Ipratropium19$443$23
Omeprazole22$223$10
Methylprednisolone12$126$11
Acetaminophen-Codeine22$109$5
Cephalexin48$104$2

2019: 10 drugs

Part D drugs prescribed in 2019
Neomycin-Polymyxin-Hc14$784$56
Mupirocin72$507$7
Ipratropium17$449$26
Fluticasone Propionate14$225$16
Methylprednisolone15$203$14
Cephalexin59$181$3
Acetaminophen-Codeine32$138$4
Omeprazole16$129$8
Valacyclovir17$99$6
Fluconazole17$54$3

2018: 9 drugs

Part D drugs prescribed in 2018
Neomycin-Polymyxin-Hc14$913$65
Ipratropium12$650$54
Mupirocin44$458$10
Methylprednisolone36$424$12
Fluticasone Propionate20$332$17
Valacyclovir14$153$11
Omeprazole16$150$9
Cephalexin32$145$5
Acetaminophen-Codeine22$121$5

2017: 7 drugs

Part D drugs prescribed in 2017
Neomycin-Polymyxin-Hydrocort17$881$52
Fluticasone Propionate23$514$22
Mupirocin42$337$8
Montelukast13$211$16
Cephalexin36$124$3
Acetaminophen-Codeine22$112$5
Omeprazole11$99$9

2016: 8 drugs

Part D drugs prescribed in 2016
Neomycin-Polymyxin-Hydrocort15$626$42
Mupirocin52$578$11
Fluticasone Propionate34$378$11
Methylprednisolone13$217$17
Cephalexin28$131$5
Acetaminophen-Codeine18$122$7
Omeprazole14$103$7
Azithromycin12$80$7

2015: 8 drugs

Part D drugs prescribed in 2015
Mupirocin64$667$10
Fluticasone Propionate39$344$9
Neomycin-Polymyxin-Hydrocort11$253$23
Methylprednisolone17$237$14
Acetaminophen-Codeine29$165$6
Cephalexin36$139$4
Valacyclovir11$114$10
Omeprazole14$54$4

2014: 10 drugs

Part D drugs prescribed in 2014
Nasonex17$2,861$168
Mupirocin60$558$9
Fluticasone Propionate39$452$12
Methylprednisolone16$341$21
Hydrocodone-Acetaminophen36$319$9
Neomycin-Polymyxin-Hydrocort16$315$20
Cephalexin51$178$3
Azithromycin19$139$7
Omeprazole20$112$6
Acetaminophen-Codeine24$106$4

2013: 8 drugs

Part D drugs prescribed in 2013
Nasonex17$2,394$141
Fluticasone Propionate22$565$26
Omeprazole34$489$14
Mupirocin25$277$11
Hydrocodone-Acetaminophen22$168$8
Azithromycin11$145$13
Cephalexin29$111$4
Acetaminophen-Codeine12$81$7

Money from drug and device companies

$93 in 2024

Industry payments by year
202423None$93
202324None$109
202214None$72
202111None$15
202011None$15
201929None$430

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Revance TherapeuticsDaxxify$70
2 payments
  • Meals for Daxxify · 2024-06-01 · $55
  • Meals for Daxxify · 2024-05-22 · $15
AbbvieNone$23
1 payment
  • Meals · 2024-01-19 · $23
See all 3 published payments
Every published payment
Revance TherapeuticsMeals · 2024-06-01Daxxify$55
Revance TherapeuticsMeals · 2024-05-22Daxxify$15
AbbvieMeals · 2024-01-19None$23
See earlier years (2023, 2022, 2021, 2020, 2019)

2023: $109

Payments by company in 2023
AbbVieBotox$91
3 payments
  • Meals for Botox · 2023-07-26 · $31
  • Meals for Botox · 2023-06-02 · $29
  • Meals for Botox · 2023-02-02 · $32
Merz North AmericaXeomin$17
1 payment
  • Meals for Xeomin · 2023-05-23 · $17

2022: $72

Payments by company in 2022
AllerganBotox$72
4 payments
  • Meals for Botox · 2022-11-10 · $19
  • Meals for Botox · 2022-07-21 · $25
  • Meals for Botox · 2022-03-23 · $12
  • Meals for Botox · 2022-02-17 · $16

2021: $15

Payments by company in 2021
AllerganBotox$15
1 payment
  • Meals for Botox · 2021-02-19 · $15

2020: $15

Payments by company in 2020
AllerganBotox Cosmetic$15
1 payment
  • Meals for Botox Cosmetic · 2020-09-25 · $15

2019: $430

Payments by company in 2019
Merz North AmericaNone$390
6 payments
  • Meals · 2019-11-21 · $81
  • Meals · 2019-11-08 · $118
  • Meals · 2019-10-29 · $10
  • Meals · 2019-05-16 · $120
  • Meals · 2019-05-01 · $52
  • Meals · 2019-01-23 · $9
AllerganBotox Cosmetic$40
3 payments
  • Meals for Botox Cosmetic · 2019-07-30 · $12
  • Meals for Botox Cosmetic · 2019-05-16 · $15
  • Meals for Botox Cosmetic · 2019-05-02 · $13

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
0.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1205836954
Licence
CA G71259California G71259: Current · expires 2026-12-31
Trained
Rutgers New Jersey Medical School, 1986 · 40 years ago
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00G712591
Taxonomy
Otolaryngology (207Y00000X)
Mailing address
295 Posada Ln, Suite B, Templeton, CA, 93465
NPI first listed
2005-07-22
NPI last updated
2010-06-29

This is when the NPI record was last certified, not a medical board exam.