MS. KATIE DANIELLE BUCKNER DO
NPI 1558891101
Family Medicine - Sleep Medicine in Abingdon, VA

Q: What is Katie Buckner's NPI number?

The NPI number for Katie Buckner is 1558891101. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Katie Buckner's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Q: When was this NPI record last updated?

The NPPES record for Katie Buckner was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment

16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211(276) 258-4435 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 29, 2021, Sep 18, 2020, Jun 15, 2017 (3 updates tracked since 2017).

On this page

About Ms. Katie Danielle Buckner Do NPPES

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

MS. KATIE DANIELLE BUCKNER DO (NPI 1558891101) is an individual sleep medicine provider in Abingdon, Virginia, licensed in California (20A18433) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1558891101

Entity TypeIndividualFemale

Primary Taxonomy207QS1201X

Provider Legal NameMS. KATIE DANIELLE BUCKNERCredential: DO

Location Address16000 JOHNSTON MEMORIAL DRAbingdon, VA 24211-7664

Mailing Address3501 Stockdale HwyBakersfield, CA 93309-2150 · (304) 952-3231

Phone(276) 258-4435

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017

Enumeration DateJune 15, 2017

Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1558891101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS1201X

License✔ Licensed in CA · 20A18433

Definition

A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

16000 JOHNSTON MEMORIAL DR, Abingdon, VA 24211

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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

Ms. Katie Danielle Buckner Do 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 ID1850664525

PECOS Enrollment IDI20200929002483

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 Reassignment

Medicare enrollment records show Katie Buckner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

1,978 mi

Health Maintenance Organization

3527 W FLORIDA AVE
Hemet, CA 92545

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1013433465 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24211 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

ANGELA MARIE COOPER

Pharmacist

16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211

Washington County (276) 258-3050

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Dermatology

16000 JOHNSTON MEMORIAL DR, SUITE 101B
ABINGDON, VA 24211

Washington County (276) 258-1777

DR. JOE RUPE MD

Internal Medicine

16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211

Washington County (276) 258-4050

MISS CATHY ANN HOPKINS PA

Physician Assistant

16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211

Washington County (276) 258-1800

DAVID HUNT SMITH MD

Surgery

16000 JOHNSTON MEMORIAL DR, SUITE 101
ABINGDON, VA 24211

Washington County (276) 258-1777

JOHNSTON MEMORIAL HOSPITAL

General Acute Care Hospital

16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211

Washington County (276) 258-1100

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Urology

16000 JOHNSTON MEMORIAL DR, SUITE 312D
ABINGDON, VA 24211

Washington County (276) 783-5400

DR. BEVERLY TARA SMITH DO

Internal Medicine

16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 24211

Washington County (276) 258-1000

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 Katie Buckner's NPI number?

The NPI number for Katie Buckner is 1558891101. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Katie Buckner located?

Katie Buckner practices at 16000 Johnston Memorial Dr, Abingdon, VA 24211. The listed phone number is (276) 258-4435.

What is Katie Buckner's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Katie Buckner enrolled in Medicare?

Yes. Katie 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 organization bills Medicare for Katie Buckner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Buckner reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The 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 Katie Buckner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katie Buckner was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.