Individual provider Active NPI

Adam Buck, PA

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1053004341
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117713 Issued in FL
Practice address
4645 NW 8TH Ave
Gainesville, FL 32605-4687
Phone
(352) 375-1212
NPI assigned
Jun 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA9117713 FL Primary

Addresses

Primary practice location

4645 NW 8TH Ave
Gainesville, FL 32605-4687

Mailing address

10243 Sweetbay Manor
Parkland, FL 33076
Phone (859) 912-1548

Other practice location 1

1151 NW 64th Ter
Gainesville, FL 32605-4218
Phone (352) 375-1212 ext. 1333

Other practice location 2

3239 NW York Dr
Lake City, FL 32055-8641
Phone (352) 375-1212 ext. 1333

Other practice location 3

10243 Sweetbay Manor
Parkland, FL 33076
Phone (859) 912-1548

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011003550 FL Practitioner - Physician Assistant 9032564067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

146 SW Orthopedic CT
Lake City, FL 32024-0672
Phone (386) 755-9215

4500 Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117713FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Institute PA Multi-Specialty CurrentSince Sep 30, 2024 Accepting new patients
The Orthopaedic Institute, PA Multi-Specialty CurrentSince Sep 30, 2024 Accepting new patients

Locations

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1053004341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10243 SWEETBAY MANOR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "859-912-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NW 8TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054687",
            "telephone_number": "352-375-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 NW 64th Ter",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054218",
            "country_code": "US",
            "telephone_number": "352-375-1212 x1333",
            "fax_number": "352-371-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3239 NW York Dr",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320558641",
            "country_code": "US",
            "telephone_number": "352-375-1212 x1333",
            "fax_number": "352-371-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10243 SWEETBAY MANOR",
            "address_purpose": "LOCATION",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "33076",
            "country_code": "US",
            "telephone_number": "859-912-1548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ADAM",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.