LORI TUCKER DO
NPI 1174534291
Obstetrics & Gynecology in Princeton, WV

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
904 HARRISON ST, PRINCETON, WV 24740(304) 431-7100(304) 431-7112 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2021, Jan 10, 2021 (2 updates tracked since 2021).

About Lori Tucker Do NPPES

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

LORI TUCKER DO (NPI 1174534291) is an individual obstetrics & gynecology provider in Princeton, West Virginia, licensed in West Virginia (1960) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1174534291
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLORI TUCKERCredential: DO
Location Address904 HARRISON STPrinceton, WV 24740
Mailing AddressPo Box 1138Princeton, WV 24740 · (304) 431-7100 · Fax (304) 431-7112
Fax(304) 431-7112
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1997
Enumeration DateAugust 11, 2006
Last NPPES UpdateApril 8, 20212 updates tracked since enumeration
NPPES CertifiedApril 8, 2021
NPI 1174534291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WV · 1960
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.

904 HARRISON ST, Princeton, WV 24740

Other Identifiers 1

Medicaid1808681000WV

Accepted Insurance

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

Lori Tucker 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 ID8426072497
PECOS Enrollment IDI20180508002185, I20251211000978
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

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 13

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

Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Obstetrics & Gynecology
904 HARRISON ST
PRINCETON, WV 24740
Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Pharmacy
904 HARRISON ST
PRINCETON, WV 24740
Pharmacy (Clinic Pharmacy)
904 HARRISON ST
PRINCETON, WV 24740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174534291, enumerated as an "individual" on August 11, 2006.

The provider is located at 904 HARRISON ST PRINCETON, WV 24740 and the phone number is (304) 431-7100.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Lori Tucker is affiliated with: NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER.