Active NPI 1114918133 Individual Practitioner Male Practitioner

Dr. John Joseph Buckley , MD

Specialist • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Dr. John Buckley, MD is a registered healthcare professional specializing in Specialist in Boardman, OH. Practice services are available at 935 TRAILWOOD DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, shaving of skin growth of body, arms, or legs, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

935 Trailwood Dr

Boardman, OH 445125062

Telephone 3307588146

Fax 3307581399

Associated Practice Facility / Clinic

🏢 Julianne Demartino, M.d., Llc Facility NPI 1396890141

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boardman, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 34.0 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

9 Specialists

Practicing in Boardman, OH (1444 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

14.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$120.00	$118.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$55.00	$53.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$150.00	$107.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$120.00	$119.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$55.00	$54.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$150.00	$108.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$150.00	$109.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	26	$55.00	$54.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$120.00	$120.00
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	19	17	$145.00	$104.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	13	$300.00	$293.95
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	13	$400.00	$307.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$150.00	$105.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	22	$55.00	$43.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$120.00	$106.12
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$400.00	$270.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$150.00	$101.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$120.00	$101.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$55.00	$41.58
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	13	$400.00	$244.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$300.00	$263.27
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$475.00	$167.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$150.00	$100.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$55.00	$40.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$120.00	$100.76
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$400.00	$226.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$150.00	$100.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	28	$55.00	$40.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$120.00	$100.06
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	18	$475.00	$150.85
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$300.00	$271.91
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$115.00	$89.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$500.00	$122.76
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$120.00	$110.39
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$125.00	$107.91
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	13	$400.00	$257.19

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 3504815113

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0631169 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. John Buckley , MD

Specialist

NPI 1639146723

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2008

Registered at 935 TRAILWOOD DR, BOARDMAN, OH 445125062 (Tel: 3307588146)

📍

Updated Business Mailing Address May 22, 2008

Registered at 33 WILDFERN DR, YOUNGSTOWN, OH 445051661 (Tel: 3307592048)

👤

Provider Name / Credentials Updated May 22, 2008

Recorded as JOHN BUCKLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2008

Specialist (License #3504815113 in OH)

🟢

Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114918133

Entity Type:

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

Enumeration Date: October 31, 2005

Last Update: May 22, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

33 Wildfern Dr

Youngstown, OH 445051661

Phone: 3307592048

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.