Scott C Buckner, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

D52179 Issued in MD

Practice address

1330 Liberty Rd
Suite H
Eldersburg, MD 21784-6412

Phone

(240) 913-5900

Fax

(240) 913-5901

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Scott Charles Buckner Professional name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Radiology

Education

Hahnemann University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFHIDD/Endpoint/AFHIDD

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.

• Buckner Vein and Aesthetics LLC

  • Vascular & Interventional Radiology Physician
  • Eldersburg, MD
  • NPI 1518563790
  Medicare reassignment NPD Authorized official
• Washington Open MRI Inc

  • Diagnostic Radiology Physician
  • Rockville, MD
  • NPI 1336184241
  NPD (past)
• Washington Open MRI Inc

  • Clinic/Center
  • Oxon Hill, MD
  • NPI 1619453891
  NPD (past)
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  NPD (past)
• USA Vein Clinics of Chantilly LLC

  • Vascular Surgery Physician
  • Chantilly, VA
  • NPI 1124670930
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1003887969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LIBERTY RD",
            "address_2": "SUITE H",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846412",
            "telephone_number": "240-913-5900",
            "fax_number": "844-205-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LIBERTY RD",
            "address_2": "SUITE H",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846412",
            "telephone_number": "240-913-5900",
            "fax_number": "240-913-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "SCOTT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D52179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937100100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "BUCKNER",
            "middle_name": "CHARLES",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Benjamin Brigoli, DDS
• Louis Jacob Brill
• Kevin M. Brown, DC
• Tina Buck, LCPC
• Buckner Vein and Aesthetics LLC
• Kathleen Burke, P.D.
• Mackenzie Burkett, LCPC
• Laura Butler
• Capital Womens Care LLC
• Jovan Caraballo-Navarra

• Vascular & Interventional Radiology Physician in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Vascular & Interventional Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.