KEVIN STUART BUCKLEY MD
NPI 1811004302
Pediatrics in Charlotte, NC
About Kevin Stuart Buckley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN STUART BUCKLEY MD (NPI 1811004302) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2009-01048) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Stuart Buckley Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Buckley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28203
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Kevin Buckley's NPI number?
The NPI number for Kevin Buckley is 1811004302. It was assigned to this individual provider in the NPPES registry on August 23, 2006.
Where is Kevin Buckley located?
Kevin Buckley practices at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte, NC 28203. The listed phone number is (704) 381-8840.
What is Kevin Buckley's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kevin Buckley enrolled in Medicare?
Yes. Kevin 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.
Which organization bills Medicare for Kevin Buckley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Buckley reassigns Medicare benefits to Carolinas Medical Center (Charlotte, NC). 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 Kevin Buckley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Buckley accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 5 other insurers list Kevin 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 Kevin Buckley affiliated with any hospitals?
According to CMS data, Kevin Buckley is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Kevin Buckley was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Kevin Stuart Buckley, MD · NPI 1811004302
Pediatrics physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since August 23, 2006.
## Identity
- **NPI:** 1811004302 (Entity type: Individual)
- **Enumerated:** August 23, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2009-01048 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, Charlotte, NC 28203-5866
- **Phone:** (704) 381-8840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carolinas Medical Center (NPI 1457695454, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811004302) · Data from the CMS NPPES public registry.