DR. KEVIN BUCZKOWSKI DPM
NPI 1891316477
Podiatrist - Foot & Ankle Surgery in Brockton, MA

Q: What is Kevin Buczkowski's NPI number?

The NPI number for Kevin Buczkowski is 1891316477. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Q: What is Kevin Buczkowski's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Buczkowski was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 05, 2020PECOS EnrolledAccepts Medicare Assignment

680 CENTRE ST, BROCKTON, MA 02302(508) 941-7772 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2023, May 5, 2020 (2 updates tracked since 2020).

On this page

About Dr. Kevin Buczkowski Dpm NPPES

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

DR. KEVIN BUCZKOWSKI DPM (NPI 1891316477) is an individual foot & ankle surgery provider in Brockton, Massachusetts, licensed in Massachusetts (2547) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891316477

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. KEVIN BUCZKOWSKICredential: DPM

Location Address680 CENTRE STBrockton, MA 02302-3308

Mailing Address680 Centre StBrockton, MA 02302-3308 · (208) 941-7772

Phone(508) 941-7772

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 2020

Enumeration DateMay 5, 2020

Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1891316477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in MA · 2547✔ Licensed in MA · STUDENT

680 CENTRE ST, Brockton, MA 02302

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Secondary Practice Locations 2

Location 1185 Pilgrim RdBoston, MA 02215-5324 · Phone (617) 632-7098

Location 21215 BroadwayRaynham, MA 02767-1942 · Phone (508) 894-0400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Dr. Kevin Buczkowski Dpm 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 ID9234592791

PECOS Enrollment IDI20230830003954

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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Buczkowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Healthcare Medical Group Inc

4.2 mi

Internal Medicine

110 LIBERTY ST
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment
409 clinicians in this Medicare group

NPI 1508804949 (508) 894-0400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

211 services136 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

181 services181 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.

157 services127 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.

78 services50 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.

36 services36 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

35 services20 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

22 services22 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

22 services17 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

20 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services19 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

13 services11 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220052

Location680 Center StreetBrockton, MA 02302 · Plymouth County

Emergency services Birthing friendly

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.

LOUIS D. GOTTLIEB M.D.

Internal Medicine

680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302

Plymouth County (508) 941-7065

MS. JAMIE CHYAT PA-C

Physician Assistant

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7000

BRANDEN M TURNER LMHC

Counselor (Mental Health)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

CARLY ALEXANDRA CARLIN MD

Psychiatry & Neurology (Psychiatry)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

DR. ANGEL TAYLOR MD

Student in an Organized Health Care Education/Training Program

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 974-7000

DR. DESIREE A CARLSON MD

Pathology (Anatomic Pathology & Clinical Pathology)

680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302

Plymouth County (508) 941-7414

DEMIN MA M.D.

Psychiatry & Neurology (Psychiatry)

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7228

JENNIFER L. BUNKER

Social Worker

680 CENTRE ST
BROCKTON, MA 02302

Plymouth County (508) 941-7268

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 Buczkowski's NPI number?

The NPI number for Kevin Buczkowski is 1891316477. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Kevin Buczkowski located?

Kevin Buczkowski practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7772.

What is Kevin Buczkowski's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kevin Buczkowski enrolled in Medicare?

Yes. Kevin Buczkowski 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 Buczkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Buczkowski reassigns Medicare benefits to Signature Healthcare Medical Group Inc (Brockton, MA). 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 Buczkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Buczkowski accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Kevin Buczkowski 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 Buczkowski affiliated with any hospitals?

According to CMS data, Kevin Buczkowski is affiliated with Signature Healthcare Brockton Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Buczkowski was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.