Active NPI 1093786980 Individual Practitioner Male Practitioner

Dr. Robert Charles Buckley , MD

Plastic Surgery • Tupelo, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Buckley, MD is a certified Plastic Surgery practicing in Tupelo, MS. With approximately 36 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1990, Dr. Buckley delivers high-quality medical care to the local community at 499 GLOSTER CREEK VLG STE D4.

Dr. Buckley accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of skin growth, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

499 Gloster Creek Vlg Ste D4

Tupelo, MS 388014711

Telephone 6623776630

Fax 6623776635

Associated Practice Facility / Clinic

🏢 Tupelo Plastic Surgery Clinic Of Tupelo Pa Facility NPI 1649381104

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Tupelo, MS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Tupelo, MS (35 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Buckley (36 Years) 36 Yrs

Tupelo Specialty Average (36.0 Years) 36.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	63	$100.00	$82.17
17000 Destruction of skin growth	97	47	$173.00	$58.07
17003 Destruction of precancer skin growth, 2-14 growths	50	26	$98.00	$5.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$120.00	$100.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$50.00	$49.60
11104 Punch biopsy, first skin growth	17	16	$300.00	$108.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17000 Destruction of skin growth	68	34	$173.00	$57.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	34	$50.00	$49.39
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$100.00	$80.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$120.00	$101.65
17003 Destruction of precancer skin growth, 2-14 growths	33	20	$98.00	$5.87
11104 Punch biopsy, first skin growth	15	13	$300.00	$110.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	33	$50.00	$49.54
17000 Destruction of skin growth	47	22	$173.00	$56.66
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$99.05	$82.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$120.00	$102.58
17003 Destruction of precancer skin growth, 2-14 growths	21	12	$98.00	$5.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	58	$50.00	$50.00
17000 Destruction of skin growth	61	32	$173.00	$59.08
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$80.00	$77.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$120.00	$100.72
17003 Destruction of precancer skin growth, 2-14 growths	29	19	$98.00	$5.80
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$80.00	$66.88
64721 Release and/or relocation of hand nerve	16	13	$2151.00	$373.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	61	$50.00	$41.28
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$80.00	$68.72
17000 Destruction of skin growth	51	35	$173.00	$58.30
17003 Destruction of precancer skin growth, 2-14 growths	31	24	$98.00	$5.43
64721 Release and/or relocation of hand nerve	25	25	$2151.00	$376.73
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$80.00	$67.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$120.00	$99.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	97	$50.00	$39.52
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$80.00	$66.06
17000 Destruction of skin growth	69	44	$173.00	$56.37
17003 Destruction of precancer skin growth, 2-14 growths	42	30	$98.00	$4.79
64721 Release and/or relocation of hand nerve	29	25	$2151.00	$372.65
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$74.35	$66.92
17110 Destruction of up to 14 skin growths	18	18	$155.56	$96.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$117.69	$95.77
11104 Punch biopsy, first skin growth	11	11	$300.00	$107.22
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$60.00	$39.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	60	$50.00	$37.54
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$80.00	$61.19
17110 Destruction of up to 14 skin growths	68	43	$151.99	$93.57
26055 Incision of tendon covering	32	15	$1500.00	$162.07
64721 Release and/or relocation of hand nerve	31	26	$2151.00	$355.82
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$75.67	$63.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$116.05	$92.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17110 Destruction of up to 14 skin growths	85	40	$143.06	$98.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	59	$50.00	$39.46
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$80.00	$67.55
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$70.00	$66.77
64721 Release and/or relocation of hand nerve	34	31	$2151.00	$378.90
26055 Incision of tendon covering	22	16	$1500.00	$198.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$115.00	$92.11
11100 Biopsy of single growth of skin and/or tissue	12	11	$207.00	$78.86

Medical Specialties & State Licenses

CMS Verified: 2020-11-19

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MS 12823

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00110707 (MS)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 19, 2020

Registered at 499 GLOSTER CREEK VLG STE D4, TUPELO, MS 388014711 (Tel: 6623776630)

📍

Updated Business Mailing Address November 19, 2020

Registered at 450 E PRESIDENT AVE, TUPELO, MS 388015599 (Tel: 6623774685)

✅

NPI Profile Active September 10, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2007

Registered at 4381 S. EASON BLVD, SUITE 101, TUPELO, MS 388014904 (Tel: 6623776630)

📍

Updated Business Mailing Address September 10, 2007

Registered at 454 E PRESIDENT AVE, TUPELO, MS 388015501 (Tel: 6623774685)

👤

Provider Name / Credentials Updated September 10, 2007

Recorded as ROBERT BUCKLEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2007

Plastic Surgery (License #12823 in MS)

🟢

Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093786980

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 30, 2006

Last Update: November 19, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

450 E President Ave

Tupelo, MS 388015599

Phone: 6623774685

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.