Individual provider Active NPI

Michael Ryan Buckley, M.D.

  • Vascular Surgery Physician
  • Knoxville, TN
National Provider Identifier
1801038716
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
51476 Issued in TN
Practice address
1940 Alcoa Hwy
Ste E120
Knoxville, TN 37920-2244
Phone
(865) 305-8040
Fax
(865) 305-8041
NPI assigned
Mar 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 51476 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy
Ste E120
Knoxville, TN 37920-2244

Mailing address

PO Box 440265
Nashville, TN 37244-0265
Phone (865) 670-6199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160726002236 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 7214220433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 270
Sevierville, TN 37862-2941
Phone (865) 305-8761

11440 Parkside Dr
Suite 202
Knoxville, TN 37934-2661
Phone (865) 305-5622

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1940 Alcoa Hwy
Knoxville, TN 37920-2263
Phone (865) 305-6810

1940 Alcoa Hwy
Suite E120
Knoxville, TN 37920-2259
Phone (865) 305-8040

1940 Alcoa Hwy E 260
Knoxville, TN 37920-2263
Phone (865) 524-7471

5779 Creekwood Park Blvd
Lenoir City, TN 37772-1203

6232 W Andrew Johnson Hwy
Suite 2300
Talbott, TN 37877-8604
Phone (865) 305-5940

6242 W Andrew Johnson Hwy
Talbott, TN 37877-8604
Phone (423) 690-3250

7326 Maynardville Pike
Knoxville, TN 37938-3717

907 E Lamar Alexander Pkwy
Suite 425
Maryville, TN 37804-5015
Phone (865) 305-8040

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jul 1, 2016 Accepting new patients
University Diagnostics, LLC CurrentSince Jan 23, 2023 Accepting new patients
University Health System, Inc Current Accepting new patients
University Diagnostics, LLC CurrentSince Jan 31, 2023 Accepting new patients
University Diagnostics, LLC CurrentSince Mar 1, 2023 Accepting new patients
University Health System, Inc Vascular Surgery CurrentSince Jul 1, 2016 Accepting new patients
University Health System, Inc. Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1940 Alcoa Hwy
Ste E120
Knoxville, TN 37920
Phone (865) 305-8040

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1940 Alcoa Hwy
Ste E40
Knoxville, TN 37920
Phone (865) 305-5510

907 E Lamar Alexander Pkwy
Ste 425
Maryville, TN 37804
Phone (865) 305-8040

Organizations & group practices 8

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 4

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1801038716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440265",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440265",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "STE E120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-305-8040",
            "fax_number": "865-305-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "51476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.