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JOHN WILLIAM BUCKLEY JR. M.D.
NPI 1912060179
Psychiatry & Neurology - Psychiatry in Glen Arm, MD

Active since December 19, 2006Opted out of Medicare · through Feb 1, 2027
5220 LONG GREEN RD, GLEN ARM, MD 21057(410) 592-5955 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John William Buckley Jr. M.d. NPPES

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

JOHN WILLIAM BUCKLEY JR. M.D. (NPI 1912060179) is an individual psychiatry provider in Glen Arm, Maryland, licensed in Maryland (D0013364) and active in the NPI registry since December 2006. He has opted out of Medicare through February 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912060179
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN WILLIAM BUCKLEY JR.Credential: M.D.
Location Address5220 LONG GREEN RDGlen Arm, MD 21057-9716
Mailing Address5220 Long Green RdGlen Arm, MD 21057-9716 · (410) 592-5955
Phone(410) 592-5955
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912060179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MD · D0013364
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5220 LONG GREEN RD, Glen Arm, MD 21057
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Other Identifiers 2

Medicare ID-Type Unspecified1945MD
Medicare UPIND77666MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

John William Buckley Jr. M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2013 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2013
Opt-Out In Effect ThroughFebruary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21057 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Buckley's NPI number?

The NPI number for John Buckley is 1912060179. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is John Buckley located?

John Buckley practices at 5220 Long Green Rd, Glen Arm, MD 21057. The listed phone number is (410) 592-5955.

What is John Buckley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Buckley enrolled in Medicare?

No. John Buckley has opted out of Medicare through February 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Buckley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.