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DR. TIMOTHY ANTHONY BUCKLEY MD
NPI 1003135377
Family Medicine in Baltimore, MD

Active since May 25, 2010PECOS Enrolled
1501 S CLINTON ST, BALTIMORE, MD 21224(866) 763-2211 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2024, Jul 18, 2023, Oct 26, 2020 (3 updates tracked since 2020).

About Dr. Timothy Anthony Buckley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY ANTHONY BUCKLEY MD (NPI 1003135377) is an individual family medicine provider in Baltimore, Maryland, licensed in Illinois (036132513) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1003135377
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY ANTHONY BUCKLEYCredential: MD
Location Address1501 S CLINTON STBaltimore, MD 21224-5730
Mailing Address1 Liberty Plz Ste 301New York, NY 10006-1404 · (917) 261-4414
Phone(866) 763-2211
Sole ProprietorNo
Enumeration DateMay 25, 2010
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1003135377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036132513✔ Licensed in FL · 147954✔ Licensed in MD · D0096374
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1501 S CLINTON ST, Baltimore, MD 21224
Open in Google Maps ↗

Secondary Practice Location 1

Location 1632 Broadway PhNew York, NY 10012-2614 · Phone (800) 731-4254

Other Identifiers 1

Medicaid036132513IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Anthony Buckley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA LAKE BUHR CRNP
Nurse Practitioner (Gerontology)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (866) 763-2211
ALLISON PIEDMONTE RN
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (610) 509-0962
JESSICA HURLEY
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 521-2455
MS. THERESE CHRISTINE DAVIS CCM RN
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 724-2628
KELLY KENNEDY
Registered Nurse
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 370-7233
KAREN LEE KEHRING
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 605-2648
MRS. CHRISTINA E CUSTIS
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 763-6386
ATLAS HEALTH, LLC
Dietitian, Registered
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (866) 233-6925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Buckley's NPI number?

The NPI number for Timothy Buckley is 1003135377. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Timothy Buckley located?

Timothy Buckley practices at 1501 S Clinton St, Baltimore, MD 21224. The listed phone number is (866) 763-2211.

What is Timothy Buckley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Buckley enrolled in Medicare?

Yes. Timothy Buckley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Buckley was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.