EVAN MICHAEL BUCKMILLER (DO) – Child & Adolescent Psychiatry Physician, NPI 1396361853

EVAN MICHAEL BUCKMILLER (DO) is a healthcare provider. based in Mexico, Missouri. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 2021040122 (MO). The NPI Number for EVAN MICHAEL BUCKMILLER (DO) is 1396361853

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
EVAN MICHAEL BUCKMILLER (DO)
NPI
1396361853
Phone
(573) 582-1234
Address
340 KELLEY PKWY
Enumeration Date
22 June 2020
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
5738846052
Graduation Year
2020 (6 years ago)
PAC ID
6709200025
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20230411002746
Address ID
MO652016521CO205XXSTXX300

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

819 PSYCHIATRY in MO

Provider Addresses for EVAN MICHAEL BUCKMILLER (DO)

  • 340 KELLEY PKWY

    MEXICO, MO 652653811

    Phone: (573) 582-1234

    Fax: (573) 582-1212

    Type: Mailing

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 1000 W NIFONG BLVD

    BLDG 7, STE 300

    COLUMBIA, MO 652035615

    Phone: (573) 884-1130

    Fax: (573) 884-5936

    Type: Location

  • 1000 W Nifong Blvd Ste 300

    Columbia, MO 652035615

    Phone: (573) 884-1130

    Fax: (573) 884-5936

    Type: Location

  • 1 HOSPITAL DR

    COLUMBIA, MO 652121000

    Phone: (573) 882-8907

    Fax: (573) 884-1070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ITI, Inc. ($100).

Total Amount

$208

General + Research + Ownership

Payments

7

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2023-04-11

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
I20230411002746IPsychiatryMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3416$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 65265)

Loading plans...

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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up EVAN MICHAEL BUCKMILLER (DO) by NPI?
Use NPI 1396361853 when you need to reference EVAN MICHAEL BUCKMILLER (DO) in forms, claims, or directories.
Is EVAN MICHAEL BUCKMILLER (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is EVAN MICHAEL BUCKMILLER (DO)?
The page reflects Child & Adolescent Psychiatry Physician for EVAN MICHAEL BUCKMILLER (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for EVAN MICHAEL BUCKMILLER (DO)?
The page summarizes Mexico, Missouri for EVAN MICHAEL BUCKMILLER (DO); expand the address list for detail.
Is EVAN MICHAEL BUCKMILLER (DO) a real provider?
This page reflects official NPPES data for NPI 1396361853. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

JOHN R HALL (M.D.)

Child & Adolescent Psychiatry Physician
321, West Promenade Street, Mexico, Audrain County, Missouri, 65265, United States
NPI: 1578569612

SYED K IMAM (MD)

Child & Adolescent Psychiatry Physician
Kelley Parkway, Mexico, Audrain County, Missouri, 65265, United States
NPI: 1366428286

AHMED A TARANISSI (MD)

Psychiatry Physician
Kelley Parkway, Mexico, Audrain County, Missouri, 65265, United States
NPI: 1215978689

Arthur Center Behavioral Health

Federally Qualified Health Center (FQHC)
Commons Drive, Fulton, Callaway County, Missouri, 65251, United States
NPI: 1174008023