DR. NICHOLAS A BUCKWALTER (MD) – Family Medicine Physician, NPI 1093009995
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,146 OBSTETRICS/GYNECOLOGY in PA
Provider Addresses for DR. NICHOLAS A BUCKWALTER (MD)
107 W End Dr
Manheim, PA 175459320
Phone: (717) 721-4860
Fax: (717) 664-5028
Type: Location
300 Willow St
Lebanon, PA 170464871
Phone: (717) 356-2222
Type: Location
30 N 4th St # 2
Lebanon, PA 170465606
Phone: (717) 274-0474
Fax: (717) 270-2374
Type: Location
2050 S Queen St Ste 100
York, PA 174034829
Phone: (717) 812-4240
Fax: (717) 848-5520
Type: Location
720 Norman Dr
Lebanon, PA 170427481
Phone: (717) 639-3230
Fax: (717) 274-1659
Type: Location
3421 CONCORD RD
YORK, PA 174029001
Phone: (717) 721-4860
Fax: (717) 664-5028
Type: Mailing
107 W END DR
MANHEIM, PA 175459320
Phone: (717) 721-4860
Fax: (717) 664-5028
Type: Location
116 S GEORGE ST
YORK, PA 174011474
Phone: (717) 845-8617
Type: Mailing
6 PERRI AVE
MYERSTOWN, PA 170673200
Phone: (717) 949-6581
Fax: (717) 949-2816
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: 2014-08-15
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 |
|---|---|---|---|---|
| I20140815000708 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 188 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 69 | $0 |
| 85610 | Blood test, clotting time | 60 | 13 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $0 |
| G0008 | Administration of influenza virus vaccine | 34 | 34 | $0 |
Insurance plans in this area (ZIP 17545)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| - | PA | |
| Gastroenterology, Internal Medicine | PA | |
| Hospitalist, Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | VA | |
| Internal Medicine | PA |
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