JOHN JOSEPH JR. BUCKLEY (M.D.) – Specialist, NPI 1114918133

JOHN JOSEPH JR. BUCKLEY (M.D.) is a healthcare provider. based in Youngstown, Ohio. specializing in Specialist. They hold the professional credentials M.D.. They hold a License No. 3504815113 (OH). The NPI Number for JOHN JOSEPH JR. BUCKLEY (M.D.) is 1114918133

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JOSEPH JR. BUCKLEY (M.D.)
NPI
1114918133
Phone
(330) 759-2048
Address
33 WILDFERN DR
Enumeration Date
31 October 2005
Last Update Date
22 May 2008

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
3307588146
Graduation Year
1981 (45 years ago)
PAC ID
4789870015
Professional Enrollment ID
I20101129000063
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

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Provider Addresses for JOHN JOSEPH JR. BUCKLEY (M.D.)

  • 33 WILDFERN DR

    YOUNGSTOWN, OH 445051661

    Phone: (330) 759-2048

    Type: Mailing

  • 935, Trailwood Drive, Applewood, Boardman, Mahoning County, Ohio, 44512, United States

    BOARDMAN, OH 445125062

    Phone: (330) 758-8146

    Fax: (330) 758-1399

    Type: Location

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: 2010-11-29

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
I20101129000063IPlastic And Reconstructive SurgeryOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2723$0
99212Established patient office or other outpatient visit, 10-19 minutes2318$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 44505)

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Reviews

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Frequently asked questions

What unique ID ties claims to JOHN JOSEPH JR. BUCKLEY (M.D.)?
NPI 1114918133 is assigned to JOHN JOSEPH JR. BUCKLEY (M.D.) under the national enumeration system.
Is JOHN JOSEPH JR. BUCKLEY (M.D.)'s NPI currently valid?
The extract we use shows JOHN JOSEPH JR. BUCKLEY (M.D.) as active.
What field does JOHN JOSEPH JR. BUCKLEY (M.D.) work in?
You can think of JOHN JOSEPH JR. BUCKLEY (M.D.) as practicing within Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is JOHN JOSEPH JR. BUCKLEY (M.D.)'s primary listing?
We display Youngstown, Ohio because that is what the record indicates for JOHN JOSEPH JR. BUCKLEY (M.D.).
What if Youngstown, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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