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DR. DANIEL A BUCKINGHAM M.D.
NPI 1992732028
Family Medicine in Oakland, MD

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
1027 MEMORIAL DR, OAKLAND, MD 21550(301) 533-3300(833) 448-0361 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Oct 16, 2019, Oct 14, 2016 (3 updates tracked since 2016).

About Dr. Daniel A Buckingham M.d. NPPES

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

DR. DANIEL A BUCKINGHAM M.D. (NPI 1992732028) is an individual family medicine provider in Oakland, Maryland, licensed in Maryland (D0064302) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992732028
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL A BUCKINGHAMCredential: M.D.
Location Address1027 MEMORIAL DROakland, MD 21550-4343
Mailing Address1027 Memorial DrOakland, MD 21550-4343 · (301) 533-3300 · Fax (301) 533-3299
Phone(301) 533-3300
Fax(833) 448-0361
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 26, 2006
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1992732028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D0064302✔ Licensed in KY · 38840
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1027 MEMORIAL DR, Oakland, MD 21550
Open in Google Maps ↗

Secondary Practice Locations 2

Location 122221 Westernport Rd SWWesternport, MD 21562-2206 · Phone (240) 774-0204 · Fax (833) 448-0361
Location 2104 Parkview DrGrantsville, MD 21536-1086 · Phone (844) 652-8730 · Fax (833) 448-0361

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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. Daniel A Buckingham M.d. 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 ID42253270
PECOS Enrollment IDI20070213000552
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

2

Medicare enrollment records show Daniel Buckingham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Maryland Health Care Corporation
Same address
Federally Qualified Health Center (FQHC)
1027 MEMORIAL DR
Oakland, MD 21550
  • Reassigned Medicare billing, Maryland enrollment
  • 26 clinicians in this Medicare group
NPI 1467427047 (301) 533-3300
Specialty Physicians Of Garrett County, LLC
0.5 mi
Mental Health (Including Community Mental Health Center)
251 N 4TH ST
Oakland, MD 21550
  • Reassigned Medicare billing, Maryland enrollment
  • 120 clinicians in this Medicare group
NPI 1225707532 (301) 533-4000

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services79 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
98 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services49 patients
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.
46 services46 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.
39 services38 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21550 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers31 claims70 services$3.66 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each A4428
DME-Orthotic Devices · category DF010N
1 supplier12 claims210 services$5.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims16 services$39.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers17 claims54 services$2.59 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers42 claims42 services$18.69 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims14 services$50.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CARDINAL HEALTH PHARMACY SERVICES, LLC
Pharmacy (Community/Retail Pharmacy)
1027 MEMORIAL DR, SUITE 100
OAKLAND, MD 21550
Garrett County (301) 245-7002
MRS. KAYLENE LYNN GRAY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
DR. ROBERT W PHARES MD
Family Medicine
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
MISS CATESSA L SIMON MS, RD, LD
Dietitian, Registered
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
JACQUELYN P BAUER C.R.N.P.
Nurse Practitioner (Pediatrics)
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
MS. MARIAN PENELOPE THOMAS FNP-BC
Nurse Practitioner (Family)
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
DEREK KYLE MCCAULEY LCSW-C
Social Worker (Clinical)
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300
BARBARA ANN MONN P.A.-C
Physician Assistant
1027 MEMORIAL DR
OAKLAND, MD 21550
Garrett County (301) 533-3300

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 Daniel Buckingham's NPI number?

The NPI number for Daniel Buckingham is 1992732028. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Daniel Buckingham located?

Daniel Buckingham practices at 1027 Memorial Dr, Oakland, MD 21550. The listed phone number is (301) 533-3300.

What is Daniel Buckingham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Buckingham enrolled in Medicare?

Yes. Daniel Buckingham 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 Daniel Buckingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Buckingham reassigns Medicare benefits to 2 organizations: Western Maryland Health Care Corporation (Oakland, MD) and Specialty Physicians Of Garrett County, LLC (Oakland, MD). 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 Daniel Buckingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Buckingham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, CareSource and Highmark Blue Cross Blue Shield West Virginia list Daniel Buckingham 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 Daniel Buckingham affiliated with any hospitals?

According to CMS data, Daniel Buckingham is affiliated with Garrett Regional Medical Center, West Virginia University Hospitals, Inc, Mon Health Medical Center, Preston Memorial Hospital and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Buckingham was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.