Active NPI
Donald William Buck II, MD
- Plastic Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 2013037311
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Johns Hopkins University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Hyperbaric and Wound Care LLC | Surgery | Current | Accepting new patients |
| Mercy Clinic Burn and Plastic Surgery, LLC | Plastic Surgery | Current | Accepting new patients |
| Mercy Clinic St. Louis Cancer and Breast Institute, LLC | Past | 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.
-
- Plastic and Reconstructive Surgery Physician
- St. Louis, MO
- NPI 1912037433
Plastic Surgery
-
- Surgery Physician
- Festus, MO
- NPI 1336568864
-
- Surgical Oncology Physician
- Saint Louis, MO
- NPI 1891946349
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.