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ALICE BUCKLEY M.D.
NPI 1659359891
Internal Medicine - Addiction Medicine in Kokomo, IN

Active since January 06, 2006PECOS Enrolled
3728 S REED RD, KOKOMO, IN 46902(765) 626-7110 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2026, Sep 3, 2025, Jun 19, 2018 (3 updates tracked since 2018).

About Alice Buckley M.d. NPPES

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

ALICE BUCKLEY M.D. (NPI 1659359891) is an individual addiction medicine provider in Kokomo, Indiana, licensed in Indiana (01080469A) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1659359891
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameALICE BUCKLEYCredential: M.D.
Location Address3728 S REED RDKokomo, IN 46902-3829
Mailing Address1513 Ironwood DrMarion, IN 46952-1564
Phone(765) 626-7110
Sole ProprietorNo
Enumeration DateJanuary 6, 2006
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1659359891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Licenses✔ Licensed in IN · 01080469A✔ Licensed in AR · E4648
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
3728 S REED RD, Kokomo, IN 46902
Open in Google Maps ↗

Secondary Practice Location 1

Location 11513 Ironwood DrMarion, IN 46952-1564 · Phone (313) 610-0164

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Buckley M.d. 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 Reassignment

Medicare enrollment records show Alice Buckley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cleanslate Medical Group Of Indiana LLC
27 mi
Addiction Medicine
101 N HARRISON ST
Alexandria, IN 46001
  • Reassigned Medicare billing, Indiana enrollment
  • 113 clinicians in this Medicare group
NPI 1023464294 (765) 233-0903

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 46902 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

MELISSA COLEMAN FNP
Nurse Practitioner (Family)
3728 S REED RD
KOKOMO, IN 46902
Howard County (765) 626-7110
LINDSEY CAROL ROBERTS FNP
Nurse Practitioner
3728 S REED RD
KOKOMO, IN 46902
Howard County (765) 626-7110

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 Alice Buckley's NPI number?

The NPI number for Alice Buckley is 1659359891. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Alice Buckley located?

Alice Buckley practices at 3728 S Reed Rd, Kokomo, IN 46902. The listed phone number is (765) 626-7110.

What is Alice Buckley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Alice Buckley enrolled in Medicare?

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

Which organization bills Medicare for Alice Buckley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Buckley reassigns Medicare benefits to Cleanslate Medical Group Of Indiana LLC (Alexandria, IN). 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 Alice 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 Alice Buckley was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.