Individual provider Active NPI

Barbara Marie Buckley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Venice, FL
National Provider Identifier
1003167206
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3578 Issued in FL
Practice address
115 Shamrock Blvd
Venice, FL 34293-1630
Phone
(941) 497-7473
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3578 FL Primary

Addresses

Primary practice location

115 Shamrock Blvd
Venice, FL 34293-1630

Mailing address

115 Shamrock Blvd
Venice, FL 34293-1630
Phone (941) 497-7473

Other names 1

  • Barbara Marie Boraggina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000979 FL Practitioner - Podiatry 0345482188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael T. McCormick and Associates PAGroup PAC ID 1759521933, 5 clinicians

Practice addresses (Care Compare)

115 Shamrock Blvd
Venice, FL 34293-1630
Phone (941) 493-8666

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal11
Removal of tissue82
Removal of skin lesions12
Removal of nail tissue1487
Removal or shaving of skin growth938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T. McCormick & Associates PA Foot & Ankle Surgery CurrentSince Jul 18, 2013 Accepting new patients
Michael T. McCormick & Associates PA Foot & Ankle Surgery CurrentSince Jul 18, 2013 Accepting new patients

Locations

2001 S McCall Rd
Englewood, FL 34223
Phone (941) 473-0113

17835 Murdock Cir
Unit B
Port Charlotte, FL 33948

115 Shamrock Blvd
Venice, FL 34293
Phone (941) 493-8666

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1003167206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SHAMROCK BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931630",
            "telephone_number": "941-497-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SHAMROCK BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931630",
            "telephone_number": "941-497-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "BARBARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BORAGGINA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.