YAIMET VIDAL BUCKNOR MD
NPI 1902030836
Hospitalist in Belleville, IL

Active since May 06, 2009PECOS EnrolledAccepts Medicare Assignment
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2025, May 6, 2022, Oct 11, 2019 and 3 more (6 updates tracked since 2019).

About Yaimet Vidal Bucknor Md NPPES

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

YAIMET VIDAL BUCKNOR MD (NPI 1902030836) is an individual hospitalist provider in Belleville, Illinois, licensed in Illinois (036123195) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1902030836
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameYAIMET VIDAL BUCKNORCredential: MD
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 733-5315
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 6, 2009
Last NPPES UpdateOctober 21, 20256 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1902030836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036123195
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036123195 (IL)
4500 MEMORIAL DR, Belleville, IL 62226

Secondary Practice Locations 3

Location 1155 E Brush Hill RdElmhurst, IL 60126-5658 · Phone (331) 221-8952 · Fax (331) 221-3782
Location 2800 W Central RdArlington Heights, IL 60005-2349 · Phone (877) 635-9229
Location 312935 Gregory StBlue Island, IL 60406-2428 · Phone (708) 597-2000

Other Identifiers 1

Other036123195IL · State License

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

Yaimet Vidal Bucknor 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.

PECOS PAC ID4880745470
PECOS Enrollment IDI20200528003290
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
225 services208 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
101 services96 patients

Hospital Affiliations CMS Care Compare 2

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Humboldt Park Health

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140206
Location1044 N Francisco AveChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%109 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226

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 Yaimet Bucknor's NPI number?

The NPI number for Yaimet Bucknor is 1902030836. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Yaimet Bucknor located?

Yaimet Bucknor practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Yaimet Bucknor's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Yaimet Bucknor enrolled in Medicare?

Yes. Yaimet Bucknor 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.

Is Yaimet Bucknor affiliated with any hospitals?

According to CMS data, Yaimet Bucknor is affiliated with Katherine Shaw Bethea Hospital and Humboldt Park Health.

When was this NPI record last updated?

The NPPES record for Yaimet Bucknor was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.