RONNIE DEAN BUCKINGHAM
NPI 1609726504
Nurse Practitioner - Family in Potosi, MO
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
Specialties & Licenses
Other Names 1
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
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.
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.
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.
POTOSI, MO 63664
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.
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 5 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.
# Ronnie Dean Buckingham · NPI 1609726504
Family physician in Potosi, Missouri. Individual provider, active in the CMS NPPES registry since January 30, 2026.
## Identity
- **NPI:** 1609726504 (Entity type: Individual)
- **Enumerated:** January 30, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2003017636 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 SOUTHTOWNE DR, Potosi, MO 63664-5729
- **Phone:** (573) 438-9355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609726504) · Data from the CMS NPPES public registry.