MR. GARY WAYNE BUCK PA-C
NPI 1356410310
Physician Assistant - Medical in Cortez, CO

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since November 06, 2006PECOS Enrolled

691 E EMPIRE ST, CORTEZ, CO 81321(970) 565-7946(970) 565-9005 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Gary Wayne Buck Pa-c NPPES

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

MR. GARY WAYNE BUCK PA-C (NPI 1356410310) is an individual medical provider in Cortez, Colorado, licensed in Colorado (0004355) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356410310

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. GARY WAYNE BUCKCredential: PA-C

Location Address691 E EMPIRE STCortez, CO 81321-2802

Mailing Address27351 Road P.7Dolores, CO 81323-9411 · (970) 570-9634 · Fax (970) 565-9005

Phone(970) 565-7946

Fax(970) 565-9005

Sole ProprietorNo

Enumeration DateNovember 6, 2006

Last NPPES UpdateMarch 1, 2016

✔ NPI 1356410310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · 0004355

691 E EMPIRE ST, Cortez, CO 81321

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Other Identifiers 2

Medicare ID-Type Unspecified8TA071

Medicare UPINR58120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gary Wayne Buck Pa-c 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.