David P Buck, M.D.
Individual provider Active NPI Family Medicine Physician · Jamestown, OH
NPI 1609849264 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1609849264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35080389 (OH)
- Practice address
- 4940 Cottonville Rd
Jamestown, OH 45335-1522 - Phone
- (937) 675-6830
- Fax
- (937) 675-6835
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mvhe Inc
Practice addresses (Care Compare)
4940 Cottonville Rd
Suite 100
Jamestown, OH 45335-1522
Phone (937) 675-6830
Hospital & facility affiliations
- Fidelity Health Care
- Miami Valley Hospital
- Soin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 83.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031208000031 | OH | Practitioner - Family Practice |
4284539750 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35080389 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Current |
Accepting new patients | |
| Mvhe Inc | Family Medicine | Current | Accepting new patients |
| Mvhe Inc | Current |
Accepting new patients | |
| Dublin Urgent Care Inc | Past | Accepting new patients | |
| Wedgewood Urgent Care, LTD | Family Medicine | Past | Accepting new patients |
| Summerhill Family Medicine, Inc. | Family Medicine | Past | Accepting new patients |
| Marietta Memorial Hospital | Past | Accepting new patients | |
| Immediate Health Associates | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
4940 Cottonville Rd
Ste 100
Jamestown, OH 45335
Phone (937) 675-6830
3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
2066 W Main St
Ste 130
Xenia, OH 45385
Phone (937) 372-7583
Interoperability endpoints
- davidbuck@oad.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 35080389 | OH | |
| Family Medicine Physician | 207Q00000X | 35080389 | OH | Yes |
Addresses
Primary practice location
4940 Cottonville Rd
Jamestown, OH 45335-1522
Mailing address
3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3100
Other practice location 1
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 395-3950
Other practice location 2
807 Farson St.
Suite 203
Belpre, OH 45714-1009
Phone (740) 423-9862
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000666648 | Other | OH | ANTHEM |
| 000000699778 | Other | OH | ANTHEM |
| H203790 | Other | OH | MEDICARE |
| P00954615 | Other | OH | RRMCR |
| 2436911 | Medicaid | OH | |
| 3810017879 | Medicaid | WV |
Other providers in Jamestown, OH
- Anew Behavioral Health LLC
- Eric E Bowers
- Danielle Brooks
- Chelsea Brunsman
- Ana Clark
- Compunet Clinical Laboratories LLC
- Krysta Mychal Cooper
- CT Ohio Jamestown LLC
- Digestive Specialists, Inc.
All providers in Jamestown, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.