Individual provider Active NPI

Donald William Buck II, MD

  • Plastic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1750547352
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2013037311 Issued in MO
Practice address
10004 Kennerly Rd Ste 365B
Saint Louis, MO 63128-2178
Phone
(636) 525-6080
NPI assigned
Aug 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 2013037311 MO
Plastic Surgery Physician 208200000X 2013037311 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 365B
Saint Louis, MO 63128-2178

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 364-4200

Other practice location 1

12700 Southfork Rd Ste 175
Saint Louis, MO 63128-3209
Phone (314) 525-1798

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20140301000059 MO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0941494256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Johns Hopkins University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Burn and Plastic Surgery LLCGroup PAC ID 4688622822, 14 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Suite 365B
Saint Louis, MO 63128-2178
Phone (636) 525-6080

701 S New Ballas Rd
Suite 310
Saint Louis, MO 63141-8725
Phone (314) 251-8750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Hyperbaric and Wound Care LLC Surgery CurrentSince Feb 17, 2025 Accepting new patients
Mercy Clinic Burn and Plastic Surgery, LLC Plastic Surgery CurrentSince Feb 21, 2022 Accepting new patients
Mercy Clinic St. Louis Cancer and Breast Institute, LLC PastSince Jun 1, 2022 Accepting new patients

Locations

1390 US Highway 61
Ste G
Crystal Cty, MO 63028
Phone (636) 933-1163

10004 Kennerly Rd
Ste 365B
Saint Louis, MO 63128
Phone (314) 729-1350

10050 Kennerly Rd
Ste 1500
Saint Louis, MO 63128
Phone (314) 525-1545

701 S New Ballas Rd
Ste 310
Saint Louis, MO 63141
Phone (314) 251-8750

12700 Southfork Rd
Ste 175
Saint Louis, MO 63128
Phone (314) 525-1798

Organizations & group practices 3

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 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": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1750547352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-364-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 365B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282178",
            "telephone_number": "636-525-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 Southfork Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631283209",
            "country_code": "US",
            "telephone_number": "314-525-1798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "DONALD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MO",
            "license": "2013037311",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "2013037311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.