Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHANNON PATRICK BUCK D.O.
NPI 1578895744
Dermatology in Jbsa Lackland, TX

Active since February 12, 2010PECOS Enrolled
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(210) 292-8200(210) 292-3781 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Oct 11, 2024, Jan 22, 2020 and 2 more (5 updates tracked since 2018).

About Shannon Patrick Buck D.o. NPPES

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

SHANNON PATRICK BUCK D.O. (NPI 1578895744) is an individual dermatology provider in Jbsa Lackland, Texas, licensed in Texas (S0144) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578895744
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameSHANNON PATRICK BUCKCredential: D.O.
Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236
Mailing Address7300 Ranch Road 2222, Bldg 1, Ste 200Austin, TX 78730 · (512) 628-0465
Fax(210) 292-3781
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 12, 2010
Last NPPES UpdateJuly 13, 20265 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1578895744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · S0144
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License S0144 (TX)
1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

Secondary Practice Locations 4

Location 12200 Bergquist Dr, Suite 1Jbsa Lackland, TX 78236-9907 · Phone (210) 292-5350 · Fax (210) 292-3781
Location 211503 NW Military Hwy Ste 321San Antonio, TX 78231 · Phone (726) 213-3494
Location 37979 Wurzbach RdSan Antonio, TX 78229-4427 · Phone (210) 450-9000
Location 43600 E Lincoln WayAmes, IA 50010-9191 · Phone (515) 239-4492

Accepted Insurance

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

Shannon Patrick Buck D.o. 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 ID4385874825
PECOS Enrollment IDI20190410001030
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 20

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

Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

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 Shannon Buck's NPI number?

The NPI number for Shannon Buck is 1578895744. It was assigned to this individual provider in the NPPES registry on February 12, 2010.

Where is Shannon Buck located?

Shannon Buck practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-8200.

What is Shannon Buck's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shannon Buck enrolled in Medicare?

Yes. Shannon Buck 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.

What insurance does Shannon Buck accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Shannon Buck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Buck was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.