MATTHEW BUCK – Professional Counselor, NPI 1184221194

MATTHEW BUCK is a healthcare provider. based in Bradford, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. PC012705 (PA). The NPI Number for MATTHEW BUCK is 1184221194

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW BUCK
NPI
1184221194
Phone
Not provided
Address
110 CAMPUS DR
Enumeration Date
2 October 2020
Last Update Date
2 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8143626535
Graduation Year
2016 (10 years ago)
PAC ID
5294176079
Group Practice PAC ID
6103864681
Professional Enrollment ID
I20240510000901
Address ID
PA167011982BR110XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for MATTHEW BUCK

  • 110 CAMPUS DR

    BRADFORD, PA 167011982

    Phone:

    Mailing address matches the actual address.

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: 2024-05-10

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
I20240510000901IMental Health CounselorPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16701)

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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: 6103864681View full group profile
NameSpecialtyState
Mental Health CounselorPA
Mental Health CounselorPA
Nurse PractitionerPA
P S Y C H I A T R YNY
Mental Health CounselorPA
P S Y C H I A T R YPA
-WY
Clinical Social WorkerPA
-NY
Mental Health CounselorNY

Reviews

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Frequently asked questions

What NPI should I save for MATTHEW BUCK?
Save NPI 1184221194 if you need a stable reference for MATTHEW BUCK.
Is MATTHEW BUCK currently active in the NPI registry?
CMS-published data lists MATTHEW BUCK as an active registrant.
What kind of provider is MATTHEW BUCK?
The page reflects Professional Counselor for MATTHEW BUCK. Clinical services aligned with this taxonomy classification.
Does MATTHEW BUCK practice in Pennsylvania?
You will see Bradford, Pennsylvania on file for MATTHEW BUCK alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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