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DR. ANDREA MICHELLE TUCKER M.D
NPI 1154558617
Obstetrics & Gynecology in Winchester, KY

Active since June 11, 2009PECOS Enrolled
100/100
CMS Quality Rating
225 HOSPITAL DR, BLDG B, STE 255, WINCHESTER, KY 40391(859) 744-2623(859) 744-9421 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Jun 10, 2020, May 4, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Andrea Michelle Tucker M.d NPPES

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

DR. ANDREA MICHELLE TUCKER M.D (NPI 1154558617) is an individual obstetrics & gynecology provider in Winchester, Kentucky, licensed in Kentucky (46054) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1154558617
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ANDREA MICHELLE TUCKERCredential: M.D
Location Address225 HOSPITAL DR, BLDG B, STE 255Winchester, KY 40391-7676
Mailing Address225 Hospital Dr, Bldg B, Ste 255Winchester, KY 40391-7676 · (859) 744-2623 · Fax (859) 744-9421
Phone(859) 744-2623
Fax(859) 744-9421
Sole ProprietorNo
Enumeration DateJune 11, 2009
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1154558617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 46054
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
225 HOSPITAL DR, Winchester, KY 40391
Open in Google Maps ↗

Other Names 1

Former Name (1)Andrea Michelle Reed Md

Secondary Practice Location 1

Location 1125 E Maxwell St Ste 140Lexington, KY 40508-2678 · Phone (859) 323-0005

Other Identifiers 2

Other46054KY · Medical License
Medicaid7100253360KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Michelle Tucker M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Medical Services Foundation, Inc
14 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40391 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

WOMEN'S HEALTH OF WINCHESTER PSC
Obstetrics & Gynecology
225 HOSPITAL DR, BLDG B, STE 255
WINCHESTER, KY 40391
Clark County (859) 744-2623
MARK JOSEPH PASCUZZI M.D.
Obstetrics & Gynecology
225 HOSPITAL DR, BLDG B, STE 255
WINCHESTER, KY 40391
Clark County (859) 744-2623
MISS ALEXIS NOEL BUDINE-UTTER PA-C
Physician Assistant
225 HOSPITAL DR
WINCHESTER, KY 40391
Clark County (859) 737-6559
LAUREN F KOSTELNIK D.O.
Pediatrics
225 HOSPITAL DR, STE 200C
WINCHESTER, KY 40391
Clark County (859) 737-6481
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Internal Medicine (Gastroenterology)
225 HOSPITAL DR, SUITE 200B
WINCHESTER, KY 40391
Clark County (859) 737-6488
REBECCA DIANE BARTEE DO
Surgery
225 HOSPITAL DR
WINCHESTER, KY 40391
Clark County (859) 737-9900
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Internal Medicine (Cardiovascular Disease)
225 HOSPITAL DR, SUITE 300A
WINCHESTER, KY 40391
Clark County (859) 737-6555
MISS CECELIA MARIE HOWARD NP-C
Nurse Practitioner
225 HOSPITAL DR
WINCHESTER, KY 40391
Clark County (859) 737-6488

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 Andrea Tucker's NPI number?

The NPI number for Andrea Tucker is 1154558617. It was assigned to this individual provider in the NPPES registry on June 11, 2009. The provider is also known as Andrea Michelle Reed MD.

Where is Andrea Tucker located?

Andrea Tucker practices at 225 Hospital Dr Bldg B, Ste 255, Winchester, KY 40391. The listed phone number is (859) 744-2623.

What is Andrea Tucker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrea Tucker enrolled in Medicare?

Yes. Andrea Tucker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Tucker reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Tucker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Andrea Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Tucker was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.