LOUIS PHILIP BUCKY MD
NPI 1609808757
Surgery - Plastic and Reconstructive Surgery in Ardmore, PA

Active since July 07, 2006Opted out of Medicare · through Sep 20, 2026
200 W MONTGOMERY AVE, ARDMORE, PA 19003(610) 649-2433(215) 829-6327 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Louis Philip Bucky Md NPPES

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

LOUIS PHILIP BUCKY MD (NPI 1609808757) is an individual plastic and reconstructive surgery provider in Ardmore, Pennsylvania, licensed in Pennsylvania (MD056328L) and active in the NPI registry since July 2006. He has opted out of Medicare through September 20, 2026.

NPPES Registry Identity

NPI1609808757
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameLOUIS PHILIP BUCKYCredential: MD
Location Address200 W MONTGOMERY AVEArdmore, PA 19003-1416
Mailing Address200 W Montgomery AveArdmore, PA 19003-1416 · (610) 649-2433 · Fax (215) 829-6327
Fax(215) 829-6327
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 27, 2019
NPI 1609808757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in PA · MD056328L
Definition
A surgeon who specializes in plastic and reconstructive surgery.
200 W MONTGOMERY AVE, Ardmore, PA 19003

Other Identifiers 1

Medicaid0015400260004PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Louis Philip Bucky Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 20, 2024 through September 20, 2026.

Opt-Out Effective DateSeptember 20, 2024
Opt-Out In Effect ThroughSeptember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
200 W MONTGOMERY AVE
ARDMORE, PA 19003
Physician Assistant
200 W MONTGOMERY AVE
ARDMORE, PA 19003
Plastic Surgery
200 W MONTGOMERY AVE
ARDMORE, PA 19003

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 Louis Bucky's NPI number?

The NPI number for Louis Bucky is 1609808757. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Louis Bucky located?

Louis Bucky practices at 200 W Montgomery Ave, Ardmore, PA 19003. The listed phone number is (610) 649-2433.

What is Louis Bucky's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Louis Bucky enrolled in Medicare?

No. Louis Bucky has opted out of Medicare through September 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Louis Bucky was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.