DR. KEVIN BUCZKOWSKI (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1891316477

DR. KEVIN BUCZKOWSKI (DPM) is a healthcare provider. based in Brockton, Massachusetts. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. STUDENT (MA). The NPI Number for DR. KEVIN BUCZKOWSKI (DPM) is 1891316477

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN BUCZKOWSKI (DPM)
NPI
1891316477
Phone
(208) 941-7772
Address
680 CENTRE ST
Enumeration Date
5 May 2020
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5089417000
Graduation Year
2020 (6 years ago)
PAC ID
9234592791
Group Practice PAC ID
7719876267
Professional Enrollment ID
I20230830003954
Address ID
MA023023308BR680XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

386 PODIATRY in MA

Provider Addresses for DR. KEVIN BUCZKOWSKI (DPM)

  • 680 CENTRE ST

    BROCKTON, MA 023023308

    Phone: (208) 941-7772

    Type: Mailing

  • 185 Pilgrim Rd

    Boston, MA 022155324

    Phone: (617) 632-7098

    Type: Location

  • 1215 Broadway

    Raynham, MA 027671942

    Phone: (508) 894-0400

    Type: Location

  • 1110 SHERIDAN AVE APT D

    ELIZABETH, NJ 072082818

    Phone: (908) 787-4902

    Type: Mailing

  • 185 PILGRIM RD

    BOSTON, MA 022155324

    Phone: (617) 632-7098

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $407.

Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: LifeNet Health ($127).

Total Amount

$407

General + Research + Ownership

Payments

8

Total payment records

General Amount

$407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2023-08-30

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
I20230830003954IPodiatryMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3229$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
11721Removal of fingernails or toenails, 6 or more nails2323$0
View full utilization report →

Insurance plans in this area (ZIP 02302)

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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: 7719876267View full group profile
NameSpecialtyState
-MA
General SurgeryIL
E N D O C R I N O L O G YMI
-CA
Internal MedicineMA
-NY
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Orthopedic SurgeryMA
-NY

Reviews

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Frequently asked questions

What is DR. KEVIN BUCZKOWSKI (DPM)'s NPI number?
DR. KEVIN BUCZKOWSKI (DPM)'s NPI is 1891316477 — the number used across U.S. healthcare to identify this provider.
Is DR. KEVIN BUCZKOWSKI (DPM) still an active registrant?
DR. KEVIN BUCZKOWSKI (DPM) carries an active NPI according to the public dataset.
What area of care is associated with DR. KEVIN BUCZKOWSKI (DPM)?
DR. KEVIN BUCZKOWSKI (DPM)'s record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KEVIN BUCZKOWSKI (DPM)?
Travel planning: use Brockton, Massachusetts as the reference point for DR. KEVIN BUCZKOWSKI (DPM), then confirm.
When was this NPI issued?
Enumeration for DR. KEVIN BUCZKOWSKI (DPM) is noted as May 5, 2020 where the registry provides it.

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