Individual provider Active NPI

Benjamin Buckner, M.D.

  • Ophthalmology Physician
  • Draper, UT
National Provider Identifier
1801206966
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10732309-1205 Issued in UT
Practice address
11820 S State St
Draper, UT 84020-7133
Phone
(573) 882-1506
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10732309-1205 UT Primary

Addresses

Primary practice location

11820 S State St
Draper, UT 84020-7133

Mailing address

11820 S State St Ste 200
Draper, UT 84020-7160
Phone (801) 568-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20181119002675 UT Practitioner - Ophthalmology 6608192141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoopes Vision Correction Center PCGroup PAC ID 7618874231, 11 clinicians

Practice addresses (Care Compare)

11820 S State St
Suite 200
Draper, UT 84020-7160
Phone (801) 568-0200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery304

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopes Vision Correction Center, PC Ophthalmology CurrentSince Aug 25, 2018 Accepting new patients

Locations

11820 S State St
Ste 150
Draper, UT 84020
Phone (801) 566-8020

11820 S State St
Ste 200
Draper, UT 84020
Phone (801) 568-0200

Interoperability endpoints

  • Direct secure messaging: rjo6174@yourcarecommunity.org
  • Direct secure messaging: bbuckner@hoopes.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1801206966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 S STATE ST STE 200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207160",
            "telephone_number": "801-568-0200",
            "fax_number": "801-563-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 S STATE ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207133",
            "telephone_number": "573-882-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "10732309-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.