MARY TUCKER M.D.
NPI 1174970370
Family Medicine in Tallahassee, FL

Active since May 17, 2016PECOS Enrolled
1491 GOVERNORS SQUARE BLVD, TALLAHASSEE, FL 32301(850) 523-7447 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 20, 2021, Mar 11, 2021, Oct 10, 2019 and 1 more (4 updates tracked since 2016).

About Mary Tucker M.d. NPPES

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

MARY TUCKER M.D. (NPI 1174970370) is an individual family medicine provider in Tallahassee, Florida, licensed in Florida (TRN22889) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174970370
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY TUCKERCredential: M.D.
Location Address1491 GOVERNORS SQUARE BLVDTallahassee, FL 32301-3049
Mailing AddressPo Box 15349Tallahassee, FL 32317-5349 · (850) 523-7447
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateMay 20, 20214 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1174970370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · TRN22889
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1491 GOVERNORS SQUARE BLVD, Tallahassee, FL 32301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID446546691
PECOS Enrollment IDI20190828000113
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 Mary Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
2140 CENTERVILLE PL
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group

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 32301 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Family Medicine
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301
Family Medicine
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301
Optometrist
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301
Optometrist
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301
Optometrist
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301
Pharmacist (Pharmacotherapy)
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301
Internal Medicine
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301
Family Medicine
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301

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 Mary Tucker's NPI number?

The NPI number for Mary Tucker is 1174970370. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Mary Tucker located?

Mary Tucker practices at 1491 Governors Square Blvd, Tallahassee, FL 32301. The listed phone number is (850) 523-7447.

What is Mary Tucker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Tucker enrolled in Medicare?

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

Which organization bills Medicare for Mary Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Tucker reassigns Medicare benefits to Capital Health Plan, Inc, (Tallahassee, FL). 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 Mary Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Tucker accept?

Health plans from Capital Health Plan list Mary 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 Mary Tucker was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.