TUCKER JEPPSON DO
NPI 1104455922
Radiology - Diagnostic Radiology in Moscow, ID

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
220 W 3RD ST, MOSCOW, ID 83843(208) 882-8369 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Apr 18, 2020, Apr 3, 2020 (3 updates tracked since 2020).

About Tucker Jeppson Do NPPES

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

TUCKER JEPPSON DO (NPI 1104455922) is an individual diagnostic radiology provider in Moscow, Idaho, licensed in Idaho (9861270) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Clearwater Valley Hospital & Clinics, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104455922
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTUCKER JEPPSONCredential: DO
Location Address220 W 3RD STMoscow, ID 83843-2203
Mailing AddressPo Box 9583Moscow, ID 83843-0177 · (208) 882-8369 · Fax (208) 882-1887
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
NPI 1104455922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in ID · 9861270
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
220 W 3RD ST, Moscow, ID 83843

Secondary Practice Locations 4

Location 1701 Lewiston StCottonwood, ID 83522-9750 · Phone (208) 962-3251
Location 21200 W Fairview StColfax, WA 99111-9552 · Phone (208) 882-8369
Location 3301 Cedar StOrofino, ID 83544-9029 · Phone (208) 882-8369
Location 420201 Crawford AveOlympia Fields, IL 60461-1010 · Phone (708) 747-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tucker Jeppson Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648788455
PECOS Enrollment IDI20250804001238, I20250805001658
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Whitman Hospital And Medical Center

Critical Access Hospitals · Colfax, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501327
Location1200 West FairviewColfax, WA 99111 · Whitman County
Emergency services

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83843 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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

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

Radiology (Diagnostic Radiology)
220 W 3RD ST
MOSCOW, ID 83843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tucker Jeppson's NPI number?

The NPI number for Tucker Jeppson is 1104455922. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Tucker Jeppson located?

Tucker Jeppson practices at 220 W 3rd St, Moscow, ID 83843. The listed phone number is (208) 882-8369.

What is Tucker Jeppson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Tucker Jeppson enrolled in Medicare?

Yes. Tucker Jeppson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tucker Jeppson affiliated with any hospitals?

According to CMS data, Tucker Jeppson is affiliated with Clearwater Valley Hospital & Clinics, St Marys Hospital And Clinics, Gritman Medical Center, Whitman Hospital And Medical Center and Pullman Regional Hospital.

When was this NPI record last updated?

The NPPES record for Tucker Jeppson was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.