DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) – Psychologist, NPI 1811996945

DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) is a healthcare provider. based in Indianapolis, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD, HSPP. They hold a License No. 20040172A (IN). The NPI Number for DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) is 1811996945

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID MARSH BUCKINGHAM (PHD, HSPP)
NPI
1811996945
Phone
(317) 288-9942
Address
8202 CLEARVISTA PKWY
Enumeration Date
20 July 2005
Last Update Date
9 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3172889942
Graduation Year
1986 (40 years ago)
PAC ID
4486779196
Group Practice PAC ID
9739241720
Professional Enrollment ID
I20100928000635
Address ID
IN462561400IN8202XPKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

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Provider Addresses for DR. DAVID MARSH BUCKINGHAM (PHD, HSPP)

  • 8202, Clearvista Parkway, Vertland, Indianapolis, Indiana, 46256, United States

    SUITE 6A

    INDIANAPOLIS, IN 462561400

    Phone: (317) 288-9942

    Fax: (317) 288-9945

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-28

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
I20100928000635IClinical PsychologistINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes24531$0
90791Psychiatric diagnostic evaluation2727$0
View full utilization report →

Insurance plans in this area (ZIP 46256)

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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: 9739241720View full group profile
NameSpecialtyState
-IN
Clinical Social WorkerIN
Mental Health CounselorIN
Clinical Social WorkerIN
Clinical Social WorkerIN

Reviews

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Frequently asked questions

Can I verify DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) with an NPI only?
You can start verification with NPI 1811996945 for DR. DAVID MARSH BUCKINGHAM (PHD, HSPP), then check state licensing separately.
Does the file indicate DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) is practicing under active NPI?
Directory data currently reports DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) as active.
What healthcare role does DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) hold?
Scheduling teams often label DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) under Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) on a map?
Expect Indianapolis, Indiana as a primary anchor for DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) unless the record lists multiple sites.
Why does DR. DAVID MARSH BUCKINGHAM (PHD, HSPP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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