DR. SCOTT BUCKLEY (D.C.) – Chiropractor, NPI 1780612929

DR. SCOTT BUCKLEY (D.C.) is a healthcare provider. based in South boston, Virginia. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 4556 (SC). The NPI Number for DR. SCOTT BUCKLEY (D.C.) is 1780612929

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT BUCKLEY (D.C.)
NPI
1780612929
Phone
(434) 572-9210
Address
4019 HALIFAX RD STE E
Enumeration Date
28 June 2006
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
8644877194
Graduation Year
1997 (29 years ago)
PAC ID
6608973813
Group Practice PAC ID
6204097371
Professional Enrollment ID
I20220915003917
Address ID
SC293412347GA212XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

801 CHIROPRACTIC in VA

Provider Addresses for DR. SCOTT BUCKLEY (D.C.)

  • 4019 HALIFAX RD STE E

    SOUTH BOSTON, VA 245924821

    Phone: (434) 572-9210

    Fax: (434) 572-4272

    Type: Location

  • 441, Piney Forest Road, Woodbury Hills, Danville, Danville City, Virginia, 24540, United States

    SUITE G

    DANVILLE, VA 245404154

    Phone: (434) 793-0700

    Fax: (434) 793-9315

    Type: Mailing

  • 712 S PETTY ST

    GAFFNEY, SC 293402254

    Phone: (434) 203-9373

    Type: Mailing

  • 212 S GRANARD ST

    GAFFNEY, SC 293412347

    Phone: (864) 487-7194

    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: 2022-09-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220915003917IChiropracticSCTBD

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 24592)

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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: 6204097371View full group profile
NameSpecialtyState
C H I R O P R A C T I CSC

Reviews

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Frequently asked questions

How do payers reference DR. SCOTT BUCKLEY (D.C.)?
For DR. SCOTT BUCKLEY (D.C.), use NPI 1780612929 as the unique 10-digit identifier.
Is there an active status for DR. SCOTT BUCKLEY (D.C.)?
For scheduling context, DR. SCOTT BUCKLEY (D.C.) is shown as active in the registry.
What area of care is associated with DR. SCOTT BUCKLEY (D.C.)?
DR. SCOTT BUCKLEY (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. SCOTT BUCKLEY (D.C.) located near South Boston?
DR. SCOTT BUCKLEY (D.C.) currently maps to South Boston, Virginia in this extract.
When was this NPI issued?
Enumeration for DR. SCOTT BUCKLEY (D.C.) is noted as June 28, 2006 where the registry provides it.

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