JACOB BUCKNER MD
NPI 1215433594
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-4400 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2024, Apr 11, 2018 (2 updates tracked since 2018).

About Jacob Buckner Md NPPES

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

JACOB BUCKNER MD (NPI 1215433594) is an individual student in an organized health care education/training program in Greenville, North Carolina and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1215433594
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB BUCKNERCredential: MD
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing Address6219 BroadmeadowSan Antonio, TX 78240-2261
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1215433594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2100 STANTONSBURG RD, Greenville, NC 27834

Secondary Practice Location 1

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-4000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Buckner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446790778
PECOS Enrollment IDI20260812002616
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Buckner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3400 WAKE FOREST RD
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,482 clinicians in this Medicare group
Gastroenterology
3480 WAKE FOREST RD STE 500
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Emergency Medicine (Sports Medicine)
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834

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 Jacob Buckner's NPI number?

The NPI number for Jacob Buckner is 1215433594. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Jacob Buckner located?

Jacob Buckner practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 744-4400.

What is Jacob Buckner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Buckner enrolled in Medicare?

Yes. Jacob Buckner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacob Buckner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Buckner reassigns Medicare benefits to 2 organizations: Duke University Health System, Inc. (Raleigh, NC) and Duke Health Integrated Practice, Inc (Raleigh, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Buckner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Buckner accept?

Health plans from Cigna Healthcare list Jacob Buckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Buckner affiliated with any hospitals?

According to CMS data, Jacob Buckner is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Buckner was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.