DR. CANDICE M BUCKLES (DO) – Obstetrics & Gynecology Physician, NPI 1053806794

DR. CANDICE M BUCKLES (DO) is a healthcare provider. based in Wyoming, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. T7503 (TX). The NPI Number for DR. CANDICE M BUCKLES (DO) is 1053806794

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDICE M BUCKLES (DO)
NPI
1053806794
Phone
(616) 252-7604
Address
5900 BYRON CENTER AVE SW
Enumeration Date
26 June 2018
Last Update Date
29 August 2024

Doctor Profile

Medical School Name
LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9037238554
Graduation Year
2018 (8 years ago)
PAC ID
9739435736
Group Practice PAC ID
6305901927
Professional Enrollment ID
I20220719001007
Address ID
TX758014781PA115XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,734 OBSTETRICS/GYNECOLOGY in MI

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Provider Addresses for DR. CANDICE M BUCKLES (DO)

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    WYOMING, MI 495199686

    Phone: (616) 252-7604

    Type: Mailing

  • 115 MEDICAL DR

    PALESTINE, TX 758014781

    Phone: (903) 723-8554

    Type: Location

  • 4002 S LOOP 256 STE A

    PALESTINE, TX 758018492

    Phone: (903) 731-5442

    Fax: (903) 723-3325

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($50).

Total Amount

$116

General + Research + Ownership

Payments

5

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

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: 2022-07-19

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
I20220719001007IObstetrics/GynecologyTXTBD

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 49519)

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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: 6305901927View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
-TX
-TX
Orthopedic SurgeryTX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TN
Cardiovascular Disease (Cardiology), Nuclear MedicineTX
Orthopedic SurgeryTX
Cardiovascular Disease (Cardiology)TN

Reviews

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Frequently asked questions

What federal number belongs to DR. CANDICE M BUCKLES (DO)?
The federal identifier for DR. CANDICE M BUCKLES (DO) is NPI 1053806794.
Is DR. CANDICE M BUCKLES (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. CANDICE M BUCKLES (DO) treat or focus on?
Patients typically see DR. CANDICE M BUCKLES (DO) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. CANDICE M BUCKLES (DO)?
We surface Wyoming, Michigan for DR. CANDICE M BUCKLES (DO) based on available NPPES addresses.
How can I contact DR. CANDICE M BUCKLES (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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