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KATHERINE MARY BUCKLEY MD
NPI 1649808718
Emergency Medicine in Ketchum, ID

Active since April 01, 2020PECOS Enrolled
100 HOSPITAL DR, KETCHUM, ID 83340(208) 727-8100(208) 727-8124 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2025, Jun 22, 2023, Apr 1, 2020 (3 updates tracked since 2020).

About Katherine Mary Buckley Md NPPES

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

KATHERINE MARY BUCKLEY MD (NPI 1649808718) is an individual emergency medicine provider in Ketchum, Idaho, licensed in Idaho (M-17069) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649808718
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKATHERINE MARY BUCKLEYCredential: MD
Location Address100 HOSPITAL DRKetchum, ID 83340
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 727-8100
Fax(208) 727-8124
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1649808718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M-17069
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 HOSPITAL DR, Ketchum, ID 83340
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15323 Harry Hines BlvdDallas, TX 75390-7201 · Phone (214) 648-3111
Location 2190 E Bannock StBoise, ID 83712-6241 · Phone (208) 381-2235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Mary Buckley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Katherine Buckley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic - Wood River LLC
Same address
Internal Medicine
100 HOSPITAL DRIVE
Ketchum, ID 83340
  • Reassigned Medicare billing, Idaho enrollment
  • 74 clinicians in this Medicare group
NPI 1972891604 (208) 727-8100
St Lukes Clinic-Treasure Valley LLC
76 mi
Family Medicine
840 N 4TH E
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1417297821 (208) 587-1850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
169 services166 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
104 services104 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83340 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

SYNAPS CORP
Nurse Anesthetist, Certified Registered
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 406-1727
CAITLIN FERRY M.S., CCC-SLP
Speech-Language Pathologist
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8800
ROYAL MCCLURE MD
Internal Medicine
100 HOSPITAL DR, STE 201
KETCHUM, ID 83340
Blaine County (208) 727-8888
DR. HADI BHURGRI MD
Internal Medicine (Gastroenterology)
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8888
SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA
Clinic/Center (Medical Specialty)
100 HOSPITAL DR, SUITE 107
KETCHUM, ID 83340
Blaine County (208) 622-3311
KERRY ANN RENNER RN
Registered Nurse (Orthopedic)
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 726-5027
JAMES CLEVELAND CRNA
Nurse Anesthetist, Certified Registered
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8800
SIARRA WALKER OTR/L, OTD, ATC
Occupational Therapist
100 HOSPITAL DR, SUITE 104
KETCHUM, ID 83340
Blaine County (208) 727-8253

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 Katherine Buckley's NPI number?

The NPI number for Katherine Buckley is 1649808718. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Katherine Buckley located?

Katherine Buckley practices at 100 Hospital Dr, Ketchum, ID 83340. The listed phone number is (208) 727-8100.

What is Katherine Buckley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Katherine Buckley enrolled in Medicare?

Yes. Katherine Buckley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Buckley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Buckley reassigns Medicare benefits to 2 organizations: St Lukes Clinic - Wood River LLC (Ketchum, ID) and St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). 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 Katherine 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 Katherine Buckley was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.