Individual provider Active NPI

David Craig Buck, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fremont, NE
National Provider Identifier
1699896159
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
24066 Issued in NE
Practice address
3301 E Elkhorn Dr Ste 100
Fremont, NE 68025-6240
Phone
(402) 390-4111
Fax
(402) 390-4115
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 24066 NE
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 24066 NE Primary

Addresses

Primary practice location

3301 E Elkhorn Dr Ste 100
Fremont, NE 68025-6240

Mailing address

3301 E Elkhorn Dr Ste 100
Fremont, NE 68025-6240
Phone (402) 390-4111

Other practice location 1

222 N 192nd St
Elkhorn, NE 68022-5363
Phone (402) 390-4111

Other identifiers 7

IdentifierTypeStateIssuer
10026130605MedicaidNE
10026130500MedicaidNE
1699896159MedicaidIA
10025800600MedicaidNE
10026130606MedicaidNE
47063010113MedicaidNE
P01670490OtherNERR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070808000306 NE Practitioner - Orthopedic Surgery 7315038171 Reassigns benefits to 1 organization
I20210120002511 IA Practitioner - Orthopedic Surgery 7315038171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD West One PCGroup PAC ID 0446228852, 89 clinicians

Practice addresses (Care Compare)

7915 Farnam Dr
Omaha, NE 68114-4504
Phone (402) 399-1900

8005 Farnam Dr
Suite 305
Omaha, NE 68114-3426
Phone (402) 390-4111

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

Hospital & facility affiliations

  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
  • Midwest Surgical Hospital LLC Hospital, Omaha, NE, CCN 280131
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Memorial Community Hospital & Health System Hospital, Blair, NE, CCN 281359

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
76.1
Promoting interoperability
95
Improvement activities
40
Cost
76.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement48
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MD West One, PC Orthopaedic Surgery CurrentSince Jul 1, 2017 Accepting new patients
MD West One, PC Orthopaedic Surgery CurrentSince Jul 1, 2017 Accepting new patients

Locations

1 Edmundson Pl
Ste 200
Council Bluffs, IA 51503
Phone (712) 243-3250

2959 US Highway 275
Hamburg, IA 51640
Phone 71238215158070

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

222 N 192nd St
Elkhorn, NE 68022

3301 E Elkhorn Dr
Fremont, NE 68025
Phone (402) 721-0090

3301 E Elkhorn Dr
Ste 100
Fremont, NE 68025
Phone (402) 721-0090

17030 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 399-8550

8005 Farnam Dr
Ste 305
Omaha, NE 68114

7710 Mercy Rd
Ste 224
Omaha, NE 68124
Phone (402) 399-8550

104 W 17th St
Schuyler, NE 68661
Phone (402) 352-2441

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1699896159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E ELKHORN DR STE 100",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680256240",
            "telephone_number": "402-390-4111",
            "fax_number": "402-390-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E ELKHORN DR STE 100",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680256240",
            "telephone_number": "402-390-4111",
            "fax_number": "402-390-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N 192nd St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680225363",
            "country_code": "US",
            "telephone_number": "402-390-4111",
            "fax_number": "402-390-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "DAVID",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "24066",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NE",
            "license": "24066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026130605",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026130500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699896159",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025800600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026130606",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47063010113",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01670490",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.