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DR. ANDREW ROBERT BUCKLEY D.O.
NPI 1750728499
Pediatrics - Pediatric Gastroenterology in Louisville, KY

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
411 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 588-2330 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Jul 24, 2019, May 16, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Andrew Robert Buckley D.o. NPPES

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

DR. ANDREW ROBERT BUCKLEY D.O. (NPI 1750728499) is an individual pediatric gastroenterology provider in Louisville, Kentucky, licensed in Kentucky (04541) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Fort Logan Hospital, and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1750728499
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. ANDREW ROBERT BUCKLEYCredential: D.O.
Location Address411 E CHESTNUT STLouisville, KY 40202-1713
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-2330 · Fax (502) 588-9513
Phone(502) 588-2330
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2013
Enumeration DateJune 3, 2013
Last NPPES UpdateAugust 26, 20244 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1750728499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in KY · 04541
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 34.013557 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
411 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1219 Bryant StBuffalo, NY 14222-2006 · Phone (716) 878-7432

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Dr. Andrew Robert Buckley D.o. 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.

PECOS PAC ID9133473960
PECOS Enrollment IDI20190820004151
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

PATRICIA GAIL WILLIAMS MD
Pediatrics (Developmental - Behavioral Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
MS. KIMBERLY LYNNE HALL DNP FNP-BC
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201
MS. ANN ELIZABETH LORIMER PA-C
Physician Assistant
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-7600
AMANDA BRIAN ROGERS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3650
HALLEY STEWART GC
Genetic Counselor, MS
411 E CHESTNUT ST, LEVEL 2
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
DR. MARY E FALLAT M.D.
Surgery (Pediatric Surgery)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390
JESSICA RAY COLEMAN APRN
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
ALICE BOOS-EDWARDS APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201

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 Andrew Buckley's NPI number?

The NPI number for Andrew Buckley is 1750728499. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Andrew Buckley located?

Andrew Buckley practices at 411 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 588-2330.

What is Andrew Buckley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Andrew Buckley enrolled in Medicare?

Yes. Andrew Buckley 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.

What insurance does Andrew Buckley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Andrew Buckley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Buckley affiliated with any hospitals?

According to CMS data, Andrew Buckley is affiliated with Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Buckley was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.