Stephen E Buckley, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

12824 Issued in MS

Practice address

100 Methodist Hospital Blvd
Hattiesburg, MS 39402-1295

Phone

(601) 268-5185

Fax

(601) 268-5006

NPI assigned

May 31, 2005

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Gastroenterology

Education

University of Mississippi School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastrointestinal Associates PAGroup PAC ID 5294795241, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094
• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078

Merit-based Incentive Payment System (MIPS)

Final score

76.9 of 100Reported as group

Quality

47.44

Promoting interoperability

98

Improvement activities

40

Cost

77.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gastrointestinal Associates, P.a.

  • Gastroenterology Physician
  • Flowood, MS
  • NPI 1093765604
  Medicare reassignment Care Compare group NPD
• Digestive Diseases Center of Hattiesburg, LLC

  • Endoscopy Clinic/Center
  • Hattiesburg, MS
  • NPI 1598879009
  NPD Authorized official
• Gastrointestinal Associates, PA

  • Anesthesiology Physician
  • Flowood, MS
  • NPI 1326587304
  NPD
• Gi Alliance Anesthesia of Mississippi PLLC

  • Certified Registered Nurse Anesthetist
  • Flowood, MS
  • NPI 1780303446
  NPD

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

• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation
• Wesley Health System LLC

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1841241841
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1740283126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METHODIST HOSPITAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021295",
            "telephone_number": "601-268-5185",
            "fax_number": "601-268-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 METHODIST HOSPITAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021295",
            "telephone_number": "601-268-5185",
            "fax_number": "601-268-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "12824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011825",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant Therapy Services, LLC
• Jeff A Bryant
• Patrick Bryant, D.O.
• Tanya W Bryant, CCC-SLP
• Mary Buckley
• Scott Buckner, M.D.
• Sidne Buelow, PH.D.
• Margaret Bullerjahn
• Lewis A Bullock, NCC
• Kimberly Bunch-Crump, PH.D., BCBA

• Gastroenterology Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Gastroenterology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.