KOLBY SPENCE BUCKNER PA-C
NPI 1558745737
Physician Assistant - Surgical in Houston, TX

Active since July 16, 2015PECOS EnrolledAccepts Medicare Assignment
6701 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kolby Spence Buckner Pa-c NPPES

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

KOLBY SPENCE BUCKNER PA-C (NPI 1558745737) is an individual surgical provider in Houston, Texas, licensed in Texas (PA10139) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Woodland Heights Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558745737
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKOLBY SPENCE BUCKNERCredential: PA-C
Location Address6701 FANNIN STHouston, TX 77030-2608
Mailing Address2 Greenway Plz, Suite 300Houston, TX 77046-0297 · (832) 828-3660
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 16, 2015
Last NPPES UpdateNovember 20, 2015
NPI 1558745737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · PA10139
6701 FANNIN ST, Houston, TX 77030

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

Kolby Spence Buckner Pa-c 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 ID3971878323
PECOS Enrollment IDI20171011000250
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.

Hospital Affiliations CMS Care Compare

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

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$7.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics (Developmental - Behavioral Pediatrics)
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Hematology-Oncology)
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Neonatal-Perinatal Medicine)
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6701 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6701 FANNIN ST
HOUSTON, TX 77030

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 Kolby Buckner's NPI number?

The NPI number for Kolby Buckner is 1558745737. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Kolby Buckner located?

Kolby Buckner practices at 6701 Fannin St, Houston, TX 77030. The listed phone number is (832) 824-1000.

What is Kolby Buckner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kolby Buckner enrolled in Medicare?

Yes. Kolby 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.

Is Kolby Buckner affiliated with any hospitals?

According to CMS data, Kolby Buckner is affiliated with Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Kolby Buckner was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.