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TIMOTHY J BUCKLAEW PA
NPI 1407310741
Physician Assistant in Canandaigua, NY

Active since January 30, 2019PECOS EnrolledAccepts Medicare Assignment
229 PARRISH ST STE 100, CANANDAIGUA, NY 14424(585) 394-1960(585) 393-9232 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, May 4, 2021, Aug 3, 2020 and 1 more (4 updates tracked since 2019).

About Timothy J Bucklaew Pa NPPES

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

TIMOTHY J BUCKLAEW PA (NPI 1407310741) is an individual physician assistant in Canandaigua, New York, licensed in New York (023245) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407310741
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY J BUCKLAEWCredential: PA
Location Address229 PARRISH ST STE 100Canandaigua, NY 14424-1791
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Phone(585) 394-1960
Fax(585) 393-9232
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 30, 2019
Last NPPES UpdateMarch 25, 20264 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1407310741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 023245
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
229 PARRISH ST STE 100, Canandaigua, NY 14424
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Secondary Practice Locations 7

Location 12621 Culver RdRochester, NY 14609-1746 · Phone (585) 295-5476 · Fax (585) 248-0567
Location 22115 Chili AveRochester, NY 14624-3425 · Phone (585) 723-7600 · Fax (585) 247-0075
Location 350 Middle RdHenrietta, NY 14467-9312 · Phone (585) 723-7600 · Fax (585) 334-6373
Location 4360 Linden Oaks Ste 100Rochester, NY 14625-2814 · Phone (585) 723-3000 · Fax (585) 348-9389
Location 5360 Linden Oaks Ste 200Rochester, NY 14625-2814 · Phone (585) 366-2010 · Fax (585) 895-7267
Location 6140 Cobblestone Court DrVictor, NY 14564-1045 · Phone (585) 922-9280 · Fax (585) 389-6099
Location 72410 Ridgeway AveRochester, NY 14626-4114 · Phone (585) 723-3000 · Fax (585) 723-2895

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy J Bucklaew Pa 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 ID9739429226
PECOS Enrollment IDI20190320000622
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
303 services29 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
84 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14424 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 4

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

KURT LUCAS RPA-C
Physician Assistant
229 PARRISH ST STE 100
CANANDAIGUA, NY 14424
Ontario County (585) 394-1960
MARC JACOBSON PA
Physician Assistant (Surgical)
229 PARRISH ST STE 100
CANANDAIGUA, NY 14424
Ontario County (585) 394-1960
KEVIN R HOPSON DPM
Podiatrist
229 PARRISH ST STE 100
CANANDAIGUA, NY 14424
Ontario County (585) 394-1960
MR. RICHARD EDWARD LEE II NP
Nurse Practitioner
229 PARRISH ST STE 100
CANANDAIGUA, NY 14424
Ontario County (585) 394-1960

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 Bucklaew's NPI number?

The NPI number for Timothy Bucklaew is 1407310741. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Timothy Bucklaew located?

Timothy Bucklaew practices at 229 Parrish St Ste 100, Canandaigua, NY 14424. The listed phone number is (585) 394-1960.

What is Timothy Bucklaew's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Bucklaew enrolled in Medicare?

Yes. Timothy Bucklaew 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.

When was this NPI record last updated?

The NPPES record for Timothy Bucklaew was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.