HEIDI BUCKINGHAM (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1295722635

HEIDI BUCKINGHAM (MD) is a healthcare provider. based in Dayton, Ohio. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 024501 (LA). The NPI Number for HEIDI BUCKINGHAM (MD) is 1295722635

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI BUCKINGHAM (MD)
NPI
1295722635
Phone
(937) 208-9090
Address
1222 S PATTERSON BLVD
Enumeration Date
30 September 2005
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372521831
Graduation Year
1998 (28 years ago)
PAC ID
9638261506
Group Practice PAC ID
9537066584
Professional Enrollment ID
I20070926000609
Address ID
OH454201893DA2451XAVEX300
Telehealth
Yes

Contacts

REST API
hbuckingham12917@direct.premierhealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

407 ENDOCRINOLOGY in OH

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Provider Addresses for HEIDI BUCKINGHAM (MD)

  • 1222, South Patterson Boulevard, Dayton, Montgomery County, Ohio, 45409, United States

    SUITE 210

    DAYTON, OH 454022684

    Phone: (937) 208-9090

    Fax: (937) 208-9075

    Type: Mailing

  • 3170 KETTERING BLVD BLDG B

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

  • 400 SUGAR CAMP CIR STE 205

    OAKWOOD, OH 454091981

    Phone: (937) 395-3656

    Fax: (937) 395-3657

    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: 2007-09-26

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
I20070926000609IEndocrinologyOHTBD

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 minutes1,100425$0
83036Hemoglobin a1c level1,013416$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report448191$0
82962Blood glucose (sugar) test performed by hand-held instrument4743$0
G0108Diabetes outpatient self-management training services, individual, per 30 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 45402)

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Provider's Procedures

HEIDI BUCKINGHAM (MD) performs procedures in ENDOCRINOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ENDOCRINOLOGYOH83036Hemoglobin A1C level923374

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: 9537066584View full group profile
NameSpecialtyState
Family PracticeOH
Family PracticeOH
Family PracticeOH
Physician AssistantOH
-OH
General SurgeryOH
Family PracticeOH
-OH
Internal Medicine, HospitalistPA
Registered Dietitian Or Nutrition ProfessionalOH

Reviews

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Frequently asked questions

How do payers reference HEIDI BUCKINGHAM (MD)?
For HEIDI BUCKINGHAM (MD), use NPI 1295722635 as the unique 10-digit identifier.
Would HEIDI BUCKINGHAM (MD) appear as active to a payer?
You can treat HEIDI BUCKINGHAM (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with HEIDI BUCKINGHAM (MD)?
HEIDI BUCKINGHAM (MD)'s record emphasizes Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is HEIDI BUCKINGHAM (MD) registered?
Use Dayton, Ohio as the headline location for HEIDI BUCKINGHAM (MD) here.
Does HEIDI BUCKINGHAM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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