DR. LUCAS KYLE BUCKLEY (MD) – Diagnostic Radiology Physician, NPI 1194040634
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for DR. LUCAS KYLE BUCKLEY (MD)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (618) 257-5613
Fax: (314) 454-4641
Type: Mailing
4500 MEMORIAL DR
DEPT RADIOLOGY
BELLEVILLE, IL 622265360
Phone: (618) 257-5613
Fax: (314) 454-4641
Type: Location
3050 MONTVALE DR STE A
SPRINGFIELD, IL 627046924
Phone: (217) 726-8096
Type: Location
2040, West Iles Avenue, Springfield, Sangamon County, Illinois, 62704, United States
SPRINGFIELD, IL 627044183
Phone: (217) 789-0668
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-05-15 • Largest payer in this snapshot: Teleflex LLC ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $25 |
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: 2019-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180420002432 | I | Diagnostic Radiology | IL | TBD |
| I20190417001520 | I | Diagnostic Radiology | IN | TBD |
| I20190903000116 | I | Diagnostic Radiology | MO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 685 | 648 | $0 |
| 71046 | X-ray of chest, 2 views | 410 | 406 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 388 | 363 | $0 |
| 71250 | Ct scan of chest without contrast | 247 | 241 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 246 | 246 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | MO | |
| Medical Oncology, Internal Medicine, Hematology/Oncology | IL | |
| Nurse Practitioner | IL | |
| Medical Oncology, Internal Medicine | IL | |
| Radiation Oncology | IL | |
| Radiation Oncology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Critical Care (Intensivists), Anesthesiology | IL | |
| - | IL |
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