COLIN THOMAS BUCKLEY – Surgery Physician, NPI 1669978359

COLIN THOMAS BUCKLEY is a healthcare provider. based in Mobile, Alabama. specializing in GENERAL SURGERY. They hold a License No. MD.39153 (AL). The NPI Number for COLIN THOMAS BUCKLEY is 1669978359

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
COLIN THOMAS BUCKLEY
NPI
1669978359
Phone
(251) 990-9191
Address
3 MOBILE INFIRMARY CIR STE 305
Enumeration Date
2 April 2018
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
2519909191
Graduation Year
2018 (8 years ago)
PAC ID
6305199100
Group Practice PAC ID
1557550589
Professional Enrollment ID
I20240726002670
Address ID
AL365322038FA188XXDRXX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

523 GENERAL SURGERY in AL

Provider Addresses for COLIN THOMAS BUCKLEY

  • 3 MOBILE INFIRMARY CIR STE 305

    MOBILE, AL 366073515

    Phone: (251) 990-9191

    Fax: (251) 990-9189

    Type: Mailing

  • 188 HOSPITAL DR STE 205

    FAIRHOPE, AL 365322038

    Phone: (251) 990-9191

    Fax: (251) 990-9189

    Type: Location

  • 2451 USA MEDICAL CENTER DR. RM 714

    MOBILE, AL 36617

    Phone: (251) 445-8282

    Fax: (251) 445-8281

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $5,644.

Total Amount is formed as General ($5,644) + Research ($0) + Ownership ($0) = $5,644.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Davol Inc. ($2,837).

Total Amount

$5,644

General + Research + Ownership

Payments

47

Total payment records

General Amount

$5,644

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240726002670IGeneral SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557550589View full group profile
NameSpecialtyState
General SurgeryAL
Surgical Oncology, EndocrinologyAL
General SurgeryAL
Surgical OncologyTN
General SurgeryOH
General SurgeryAL
Surgical OncologyAL
Plastic And Reconstructive SurgeryAL
General SurgeryAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is COLIN THOMAS BUCKLEY's NPI number?
COLIN THOMAS BUCKLEY's NPI is 1669978359 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to COLIN THOMAS BUCKLEY?
You should see COLIN THOMAS BUCKLEY as active in CMS-hosted NPPES data.
What clinical focus is listed for COLIN THOMAS BUCKLEY?
At a glance, COLIN THOMAS BUCKLEY is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for COLIN THOMAS BUCKLEY?
Travel planning: use Mobile, Alabama as the reference point for COLIN THOMAS BUCKLEY, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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