DR. KERRY LOUISE BUCKLEY M.D.
NPI 1801117171
Obstetrics & Gynecology in Jacksonville, FL

Q: What is Kerry Buckley's NPI number?

The NPI number for Kerry Buckley is 1801117171. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Q: What is Kerry Buckley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Buckley was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 21, 2010PECOS Enrolled

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7419(904) 542-7839 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kerry Louise Buckley M.d. NPPES

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

DR. KERRY LOUISE BUCKLEY M.D. (NPI 1801117171) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Tennessee (MD0000048093) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801117171

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. KERRY LOUISE BUCKLEYCredential: M.D.

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing Address236 N Bridge Creek DrSt Johns, FL 32259-8882 · (301) 537-1680

Phone(904) 542-7419

Fax(904) 542-7839

Sole ProprietorYes

Enumeration DateJune 21, 2010

Last NPPES UpdateNovember 15, 2025

NPPES CertifiedNovember 15, 2025

✔ NPI 1801117171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TN · MD0000048093

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2080 CHILD ST, Jacksonville, FL 32214

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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)

Dr. Kerry Louise 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

MR. STEVEN LEE UNDHEIM IDC

Military Health Care Provider (Independent Duty Corpsman)