YAIMET VIDAL BUCKNOR MD
NPI 1902030836
Hospitalist in Belleville, IL
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
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
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
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.
Medicare Billing Reassignments
14Medicare enrollment records show Yaimet Bucknor reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63141
- Reassigned Medicare billing, Illinois enrollment
- 108 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Illinois enrollment
- 507 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 46 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Illinois enrollment
- 419 clinicians in this Medicare group
Staunton, IL 62088
- Reassigned Medicare billing, Illinois enrollment
- 121 clinicians in this Medicare group
Peoria, IL 61605
- Reassigned Medicare billing, Illinois enrollment
- 122 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Ottawa, IL 61350
- Reassigned Medicare billing, Illinois enrollment
- 233 clinicians in this Medicare group
Morris, IL 60450
- Reassigned Medicare billing, Illinois enrollment
- 207 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Katherine Shaw Bethea Hospital
Acute Care Hospitals · Dixon, ILPhysician 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.
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
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.
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
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.
Which organizations bill Medicare for Yaimet Bucknor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yaimet Bucknor reassigns Medicare benefits to 14 organizations: Inpatient Consultants Of Illinois, P.C. (Saint Louis, MO), Fairview Heights Medical Group, Sc (Saint Louis, MO), Illinois Department Of Human Services (Alton, IL), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Midwest Emergency Anderson Health, Inc (Staunton, IL) and 9 more organizations, listed in the Medicare section above. Each 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 Yaimet Bucknor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Yaimet Bucknor affiliated with any hospitals?
According to CMS data, Yaimet Bucknor is affiliated with Katherine Shaw Bethea Hospital.
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 12 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.
# Yaimet Vidal Bucknor, MD · NPI 1902030836
Hospitalist physician in Belleville, Illinois. Individual provider, active in the CMS NPPES registry since May 6, 2009.
## Identity
- **NPI:** 1902030836 (Entity type: Individual)
- **Enumerated:** May 6, 2009
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 036123195 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 MEMORIAL DR, Belleville, IL 62226-5360
- **Phone:** (618) 257-6220
## 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:** 14 organizations under Medicare reassignment (form CMS-855R): Inpatient Consultants Of Illinois, P.C. (NPI 1003850843, Saint Louis, MO); Fairview Heights Medical Group, Sc (NPI 1811392210, Saint Louis, MO); Illinois Department Of Human Services (NPI 1083620827, Alton, IL); Sound Physicians Of Illinois, LLC (NPI 1043598865, Bridgeton, MO); Midwest Emergency Anderson Health, Inc (NPI 1710647615, Staunton, IL); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** October 21, 2025
- **Other identifiers:** Other 036123195 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1902030836) · Data from the CMS NPPES public registry.