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MR. WILLIAM EDWARD BUCKETT PHYSICIAN ASSISTANT
NPI 1851481824
Physician Assistant - Medical in Centralia, IL

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1054 MARTIN LUTHER KING DR, STE 124, CENTRALIA, IL 62801(618) 533-8700(618) 533-8701 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. William Edward Buckett Physician Assistant NPPES

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

MR. WILLIAM EDWARD BUCKETT PHYSICIAN ASSISTANT (NPI 1851481824) is an individual medical provider in Centralia, Illinois, licensed in New York (009118) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1851481824
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. WILLIAM EDWARD BUCKETTCredential: PHYSICIAN ASSISTANT
Location Address1054 MARTIN LUTHER KING DR, STE 124Centralia, IL 62801-3000
Mailing Address1054 Martin Luther King Dr, Ste 124Centralia, IL 62801-3000 · (618) 533-8700 · Fax (618) 533-8701
Phone(618) 533-8700
Fax(618) 533-8701
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 13, 2006
Last NPPES UpdateNovember 12, 2015
✔ NPI 1851481824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 009118
1054 MARTIN LUTHER KING DR, Centralia, IL 62801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mr. William Edward Buckett Physician Assistant 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 ID6709776404
PECOS Enrollment IDI20210721003773
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
316 services294 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
276 services265 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers12 claims12 services$16.89 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$48.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

NATALIE AMASON FNP
Nurse Practitioner
1054 MARTIN LUTHER KING DR
CENTRALIA, IL 62801
Marion County (618) 244-0031
STEPHEN T ANG MD SC
Internal Medicine (Gastroenterology)
1054 MARTIN LUTHER KING DR, STE 120
CENTRALIA, IL 62801
Marion County (618) 532-1688
JAMES B. STIEHL, MD, PC
Orthopaedic Surgery
1054 MARTIN LUTHER KING DR, SUITE 226
CENTRALIA, IL 62801
Marion County (618) 436-5250
MRS. KARLA ANNE SCHUTZENHOFER APN
Nurse Practitioner (Adult Health)
1054 MARTIN LUTHER KING DR, SUITE 220
CENTRALIA, IL 62801
Marion County (618) 545-1705
MERRILEE R BRANDT M.D.
Surgery
1054 MARTIN LUTHER KING DR, SUITE 125
CENTRALIA, IL 62801
Marion County (618) 436-5200

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 William Buckett's NPI number?

The NPI number for William Buckett is 1851481824. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is William Buckett located?

William Buckett practices at 1054 Martin Luther King Dr Ste 124, Centralia, IL 62801. The listed phone number is (618) 533-8700.

What is William Buckett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is William Buckett enrolled in Medicare?

Yes. William Buckett 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 William Buckett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list William Buckett 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 William Buckett affiliated with any hospitals?

According to CMS data, William Buckett is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Crossroads Community Hospital, Salem Township Hospital and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for William Buckett was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.