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DR. NICHOLAS SALPETER BUCKLEY DO
NPI 1942738679
Family Medicine - Geriatric Medicine in San Mateo, CA

Active since May 25, 2017PECOS Enrolled
66 BOVET RD STE 100, SAN MATEO, CA 94402(650) 554-1000(650) 554-1018 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2025, Apr 23, 2021, Jul 2, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Nicholas Salpeter Buckley Do NPPES

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

DR. NICHOLAS SALPETER BUCKLEY DO (NPI 1942738679) is an individual geriatric medicine provider in San Mateo, California, licensed in California (20A18014) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Burlingame.

NPPES Registry Identity

NPI1942738679
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. NICHOLAS SALPETER BUCKLEYCredential: DO
Location Address66 BOVET RD STE 100San Mateo, CA 94402-3126
Mailing Address1900 S Norfolk St Ste 350San Mateo, CA 94403-1171 · (650) 532-2321 · Fax (650) 532-2333
Phone(650) 554-1000
Fax(650) 554-1018
Sole ProprietorYes
Enumeration DateMay 25, 2017
Last NPPES UpdateSeptember 5, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1942738679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · 20A18014
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 20A18014 (CA)
66 BOVET RD STE 100, San Mateo, CA 94402
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Secondary Practice Location 1

Location 11609 Trousdale DrBurlingame, CA 94010-4520 · Phone (650) 652-3969

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Salpeter Buckley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Nicholas Buckley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mission Hospice & Home Care Inc.
Same address
Hospice and Palliative Medicine
66 BOVET RD STE 100
San Mateo, CA 94402
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1831772359 (650) 554-1000
Provider Profile
1.3 mi
Geriatric Medicine
1900 S NORFOLK ST STE 350
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
NPI 1770688848 (650) 532-2321
American Specialty Physicians Group Inc
73 mi
Emergency Medicine
700 17TH ST STE 205
Modesto, CA 95354
  • Reassigned Medicare billing, California enrollment
  • 180 clinicians in this Medicare group
NPI 1164363024 (877) 346-2211
Vibra Physicians LLC
953 mi
Hospitalist
4401 UNION ST
Johnstown, CO 80534
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
NPI 1659705424 (970) 278-9340

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.

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
27 services26 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94402 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES

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

MISSION HOSPICE & HOME CARE INC.
Internal Medicine (Hospice and Palliative Medicine)
66 BOVET RD STE 100
SAN MATEO, CA 94402
San Mateo County (650) 554-1000

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 Nicholas Buckley's NPI number?

The NPI number for Nicholas Buckley is 1942738679. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Nicholas Buckley located?

Nicholas Buckley practices at 66 Bovet Rd Ste 100, San Mateo, CA 94402. The listed phone number is (650) 554-1000.

What is Nicholas Buckley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Nicholas Buckley enrolled in Medicare?

Yes. Nicholas Buckley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Buckley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Buckley reassigns Medicare benefits to 4 organizations: Mission Hospice & Home Care Inc. (San Mateo, CA), (San Mateo, CA), American Specialty Physicians Group Inc (Modesto, CA) and Vibra Physicians LLC (Johnstown, CO). 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 Nicholas Buckley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Buckley was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.