MR. ELMO GLENN TUCKER MD
NPI 1164402053
Emergency Medicine in Belfast, ME

Q: What is Elmo Tucker's NPI number?

The NPI number for Elmo Tucker is 1164402053. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Elmo Tucker's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Elmo Tucker was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 January 18, 2006PECOS Enrolled

118 NORTHPORT AVE, BELFAST, ME 04915(207) 338-9324(207) 338-6820 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Elmo Glenn Tucker Md NPPES

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

MR. ELMO GLENN TUCKER MD (NPI 1164402053) is an individual emergency medicine provider in Belfast, Maine, licensed in Connecticut (029674) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164402053

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMR. ELMO GLENN TUCKERCredential: MD

Location Address118 NORTHPORT AVEBelfast, ME 04915

Mailing AddressP.o. Box 287, 118 Northport AveBelfast, ME 04915 · (207) 338-9324 · Fax (207) 338-6820

Phone(207) 338-9324

Fax(207) 338-6820

Sole ProprietorNo

Enumeration DateJanuary 18, 2006

Last NPPES UpdateAugust 26, 2015

✔ NPI 1164402053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CT · 029674

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

118 NORTHPORT AVE, Belfast, ME 04915

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Other Identifiers 1

Medicare UPINE42362CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Elmo Glenn Tucker Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04915 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

Most-billed visit code 99214

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 20

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

MICHAEL CALDER GILL PA-C

Physician Assistant