DR. KEVIN DONALD BUCKLEY MD
NPI 1568566008
Emergency Medicine - Pediatric Emergency Medicine in San Diego, CA
About Dr. Kevin Donald Buckley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN DONALD BUCKLEY MD (NPI 1568566008) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (G87482) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of Tufts University School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
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
Dr. Kevin Donald Buckley 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kevin Buckley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 526 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Kevin Buckley's NPI number?
The NPI number for Kevin Buckley is 1568566008. It was assigned to this individual provider in the NPPES registry on September 12, 2006.
Where is Kevin Buckley located?
Kevin Buckley practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.
What is Kevin Buckley's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.
Is Kevin Buckley enrolled in Medicare?
Yes. Kevin Buckley 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 Kevin Buckley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Buckley reassigns Medicare benefits to 2 organizations: Rady Children's Hospital San Diego (San Diego, CA) and Regents Of The University Of California (San Diego, CA). 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 Kevin Buckley'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 Kevin Buckley was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kevin Donald Buckley, MD · NPI 1568566008
Pediatric Emergency Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 12, 2006.
## Identity
- **NPI:** 1568566008 (Entity type: Individual)
- **Enumerated:** September 12, 2006
- **Primary specialty:** Emergency Medicine - Pediatric Emergency Medicine · taxonomy 207PP0204X
- **State license:** G87482 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA); Regents Of The University Of California (NPI 1003934803, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** August 11, 2026
- **Other identifiers:** Medicaid 00G874820 (CA); Other 00G874820851 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1568566008) · Data from the CMS NPPES public registry.