KELLI SUZANNE BUCKNER (DO) – Family Medicine Physician, NPI 1417269622
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
83 OSTEOPATHIC MANIPULATIVE MEDICINE in OH
Provider Addresses for KELLI SUZANNE BUCKNER (DO)
16888 HARVARD AVE
CLEVELAND, OH 441282208
Phone: (330) 323-3060
Type: Location
13438 SEBE DR
MARSHALLVILLE, OH 446459767
Phone: (303) 278-6263
Type: Mailing
7500 TOWN CENTRE DR STE 200
BROADVIEW HEIGHTS, OH 441474029
Phone: (877) 283-8863
Fax: (213) 784-5670
Type: Mailing
556 PORTAGE TRAIL EXT W
CUYAHOGA FALLS, OH 442232542
Phone: (330) 323-3060
Type: Location
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 $327.
Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).
Total Amount
$327
General + Research + Ownership
Payments
5
Total payment records
General Amount
$327
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $125 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $122 |
| ABBVIE INC. | $45 |
| Organon LLC | $18 |
| Lilly USA, LLC | $17 |
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: 2013-08-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130828000598 | I | Family Practice | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 62 | 27 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 12 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | OH | |
| Critical Care (Intensivists) | KY | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| N E P H R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| General Surgery | IL |
Reviews
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