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RONNIE DEAN BUCKINGHAM
NPI 1609726504
Nurse Practitioner - Family in Potosi, MO

Active since January 30, 2026PECOS EnrolledAccepts Medicare Assignment
1 SOUTHTOWNE DR, POTOSI, MO 63664(573) 438-9355 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2026, Jan 30, 2026 (2 updates tracked since 2026).

About Ronnie Dean Buckingham NPPES

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

RONNIE DEAN BUCKINGHAM (NPI 1609726504) is an individual family provider in Potosi, Missouri, licensed in Missouri (2003017636) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609726504
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRONNIE DEAN BUCKINGHAM
Location Address1 SOUTHTOWNE DRPotosi, MO 63664-5729
Mailing Address205 W Jefferson StPotosi, MO 63664-1830 · (314) 226-6990
Phone(573) 438-9355
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 30, 2026
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1609726504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2003017636
1 SOUTHTOWNE DR, Potosi, MO 63664
Open in Google Maps ↗

Other Names 1

Other Name (5)Mr. Ronnie D Buckingham

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Ronnie Dean Buckingham 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 ID4486135696
PECOS Enrollment IDI20260225003868
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 Ronnie Buckingham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Mines Health Center
5.9 mi
Federally Qualified Health Center (FQHC)
512 STATE ST RM 101
Mineral Point, MO 63660
  • Reassigned Medicare billing, Missouri enrollment
  • 35 clinicians in this Medicare group
NPI 1891341665 (573) 438-9355

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 63664 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 283-3111
GREGORY A ROEBACK LPC
Counselor (Professional)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355
PENNY KAYE GRECHUS MSN, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-7892
MELISSA GAIL BENSON LMSW
Social Worker (Clinical)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-8381
SAMANTHA ALANNA FINLEY FNP-C
Nurse Practitioner (Family)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355
MS. AUDRA LOUISE O'NEAL RDH
Dental Hygienist
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-8401
JESSICA LYNN HOLLAND FNP-C
Nurse Practitioner
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (572) 438-9355
MRS. TERRA RENEE GRAVES LCSW
Social Worker (Clinical)
1 SOUTHTOWNE DR
POTOSI, MO 63664
Washington County (573) 438-9355

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 Ronnie Buckingham's NPI number?

The NPI number for Ronnie Buckingham is 1609726504. It was assigned to this individual provider in the NPPES registry on January 30, 2026. The provider is also known as Mr. Ronnie D Buckingham.

Where is Ronnie Buckingham located?

Ronnie Buckingham practices at 1 Southtowne Dr, Potosi, MO 63664. The listed phone number is (573) 438-9355.

What is Ronnie Buckingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ronnie Buckingham enrolled in Medicare?

Yes. Ronnie Buckingham 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 Ronnie Buckingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronnie Buckingham reassigns Medicare benefits to Great Mines Health Center (Mineral Point, MO). 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 Ronnie Buckingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronnie Buckingham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Ronnie Buckingham 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 Ronnie Buckingham was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.