DR. DAVID ISAAC TUCKER DDS
NPI 1053373175
Dentist - Oral and Maxillofacial Surgery in Fort Sam Houston, TX

Q: What is David Tucker's NPI number?

The NPI number for David Tucker is 1053373175. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is David Tucker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is David Tucker enrolled in Medicare?

No. David Tucker has opted out of Medicare through December 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for David Tucker was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2006Opted out of Medicare · through Dec 16, 2026

2410 STANLEY ROAD, DENTAC SUITE 200J, FORT SAM HOUSTON, TX 78234(210) 295-2743(210) 295-2602 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. David Isaac Tucker Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID ISAAC TUCKER DDS (NPI 1053373175) is an individual oral and maxillofacial surgery provider in Fort Sam Houston, Texas, licensed in Texas (21380) and active in the NPI registry since April 2006. He has opted out of Medicare through December 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053373175

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DAVID ISAAC TUCKERCredential: DDS

Location Address2410 STANLEY ROAD, DENTAC SUITE 200JFort Sam Houston, TX 78234-6230

Mailing Address2410 Stanley Road, Dentac Suite 200jFort Sam Houston, TX 78234-6230 · (210) 295-2743 · Fax (210) 295-2602

Phone(210) 295-2743

Fax(210) 295-2602

Sole ProprietorNo

Enumeration DateApril 4, 2006

Last NPPES UpdateOctober 1, 2014

✔ NPI 1053373175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TX · 21380

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 0021380 (TX)

2410 STANLEY ROAD, Fort Sam Houston, TX 78234

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Isaac Tucker Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 16, 2016 through December 16, 2026.

Opt-Out Effective DateDecember 16, 2016

Opt-Out In Effect ThroughDecember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE BRADFORD BREHM DMD

Dentist (Dental Public Health)