Individual provider Active NPI

Daniel Chester Buck, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Auburn, ME
National Provider Identifier
1972580009
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD194 Issued in ME
Practice address
15 Gracelawn Rd Ste 101
Auburn, ME 04210-6347
Phone
(207) 333-4710
Fax
(207) 333-4715
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD194 ME Primary

Addresses

Primary practice location

15 Gracelawn Rd Ste 101
Auburn, ME 04210-6347

Mailing address

PO Box 95000 LBX 7650
Philadelphia, PA 19195-0001

Other practice location 1

15 Gracelawn Rd Ste 101
Auburn, ME 04210
Phone (207) 333-4710

Other identifiers 2

IdentifierTypeStateIssuer
P00260831OtherMERR MEDICARE
129670099MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbuck1149809@direct.bsmhealth.org St. Mary's Regional Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000700 ME Practitioner - Podiatry 9739077116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Regional Medical Center CurrentSince Jun 30, 2014 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Jun 30, 2014 Accepting new patients

Locations

15 Gracelawn Rd
Ste 101
Auburn, ME 04210
Phone (207) 333-4710

100 Campus Ave
Ste 104
Lewiston, ME 04240
Phone (207) 755-3445

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

Organizations & group practices 2

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1972580009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LBX 7650",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRACELAWN RD STE 101",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106347",
            "telephone_number": "207-333-4710",
            "fax_number": "207-333-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Gracelawn Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "04210",
            "country_code": "US",
            "telephone_number": "207-333-4710",
            "fax_number": "207-333-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "DANIEL",
        "middle_name": "CHESTER",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00260831",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129670099",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbuck1149809@direct.bsmhealth.org",
            "affiliation": "Y",
            "affiliationName": "St. Mary's Regional Medical Center",
            "address_1": "15 Gracelawn Rd Ste 101",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042106347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.