MICHAEL C TUCKER MD
NPI 1205947249
Orthopaedic Surgery in Augusta, GA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
1120 15TH ST, AUGUSTA, GA 30912(706) 721-2741(706) 721-4696 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael C Tucker Md NPPES

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

MICHAEL C TUCKER MD (NPI 1205947249) is an individual orthopaedic surgery provider in Augusta, Georgia, licensed in Georgia (039968) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1205947249
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL C TUCKERCredential: MD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing AddressPo Box 22265Belfast, ME 04915-4473 · (803) 296-7320 · Fax (803) 296-7330
Fax(706) 721-4696
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1990
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 9, 2018
NPI 1205947249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 039968
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1120 15TH ST, Augusta, GA 30912

Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-2741 · Fax (706) 721-4696

Other Identifiers 2

MedicaidG39968SC
Medicaid000655157AGA

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

Michael C Tucker Md 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 ID7517049273
PECOS Enrollment IDI20080204000105
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services19 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912

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 Michael Tucker's NPI number?

The NPI number for Michael Tucker is 1205947249. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Michael Tucker located?

Michael Tucker practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-2741.

What is Michael Tucker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Tucker enrolled in Medicare?

Yes. Michael Tucker 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.

What insurance does Michael Tucker accept?

Health plans from BlueCross BlueShield of South Carolina list Michael 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.

Is Michael Tucker affiliated with any hospitals?

According to CMS data, Michael Tucker is affiliated with Prisma Health Richland Hospital.

When was this NPI record last updated?

The NPPES record for Michael Tucker was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.