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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDRA BUCKWALTER MD
NPI 1750138939
Family Medicine in Dixon, IL

Active since May 04, 2024PECOS Enrolled
403 E 1ST ST, DIXON, IL 61021(815) 285-5629(815) 285-5634 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, May 6, 2024, May 4, 2024 (3 updates tracked since 2024).

About Alexandra Buckwalter Md NPPES

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

ALEXANDRA BUCKWALTER MD (NPI 1750138939) is an individual family medicine provider in Dixon, Illinois, licensed in Illinois (036182233) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750138939
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALEXANDRA BUCKWALTERCredential: MD
Location Address403 E 1ST STDixon, IL 61021-3116
Mailing Address403 E 1st StDixon, IL 61021-3116 · (815) 285-5629 · Fax (815) 285-5634
Phone(815) 285-5629
Fax(815) 285-5634
Sole ProprietorYes
Enumeration DateMay 4, 2024
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1750138939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036182233
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
403 E 1ST ST, Dixon, IL 61021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Buckwalter 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

SAAD BLANEY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5533
KATHERINE SHAW BETHEA HOSPITAL
Psychiatric Unit
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
BRETT AUSTIN MCGOWAN M.D.
Obstetrics & Gynecology
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5461
MARIE NOWAK MD
Emergency Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
STACEY PENAFLOR
Physical Therapist
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5591
DOROTHY BENNETT MD
Internal Medicine
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5629
VALARIE PFOUTZ APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 288-5531
AUDRA DANIELLE WASHO APN
Nurse Practitioner (Family)
403 E 1ST ST
DIXON, IL 61021
Lee County (815) 284-5710

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 Alexandra Buckwalter's NPI number?

The NPI number for Alexandra Buckwalter is 1750138939. It was assigned to this individual provider in the NPPES registry on May 4, 2024.

Where is Alexandra Buckwalter located?

Alexandra Buckwalter practices at 403 E 1st St, Dixon, IL 61021. The listed phone number is (815) 285-5629.

What is Alexandra Buckwalter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alexandra Buckwalter enrolled in Medicare?

Yes. Alexandra Buckwalter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Buckwalter was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.