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DR. JEFFREY GLEN TUCKER M.D.
NPI 1265426738
Specialist in Cumming, GA

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
980 SANDERS RD, SUITE 100, CUMMING, GA 30041(770) 886-1074(770) 205-4717 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2017, May 16, 2016 (2 updates tracked since 2016).

About Dr. Jeffrey Glen Tucker M.d. NPPES

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

DR. JEFFREY GLEN TUCKER M.D. (NPI 1265426738) is an individual specialist in Cumming, Georgia, licensed in Georgia (034068) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (1989).

NPPES Registry Identity

NPI1265426738
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JEFFREY GLEN TUCKERCredential: M.D.
Location Address980 SANDERS RD, SUITE 100Cumming, GA 30041-5977
Mailing Address980 Sanders Rd, Suite 100Cumming, GA 30041-5977 · (770) 886-1074 · Fax (770) 205-4717
Phone(770) 886-1074
Fax(770) 205-4717
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1989
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJanuary 11, 20172 updates tracked since enumeration
✔ NPI 1265426738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 034068
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSurgeryTaxonomy 208600000X · License 034068 (GA)
980 SANDERS RD, Cumming, GA 30041
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN202I023240GA
Medicaid000468608KGA
Medicare UPINF43611GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Jeffrey Glen Tucker M.d. 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 ID5294755641
PECOS Enrollment IDI20080228000481
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 5

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.
81 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
65 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
40%250 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
75%577 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
48%577 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
66%238 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%374 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
94%100 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 238 patients
0%238 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

DR. ZACHARY JOSEPH POWELL D.M.D
Dentist
980 SANDERS RD, SUITE 200
CUMMING, GA 30041
Forsyth County (770) 205-3111
DR. JAMES CLAY COPHER M.D.
Surgery
980 SANDERS RD, SUITE 100
CUMMING, GA 30041
Forsyth County (770) 886-1074
BUNNY DOSTER PC-C
Physician Assistant
980 SANDERS RD, STE B
CUMMING, GA 30041
Forsyth County (770) 781-8840
DR. LOUIS A GOEHRING III M.D.
Surgery
980 SANDERS RD, SUITE 100
CUMMING, GA 30041
Forsyth County (770) 886-1074
SPOTLIGHT FAMILY DENTAL LLC
Dentist (General Practice)
980 SANDERS RD, SUITE 200
CUMMING, GA 30041
Forsyth County (770) 205-3111
DR. NICHOLAS MICHAEL DRAHUSH M.D.
Surgery
980 SANDERS RD, STE 100
CUMMING, GA 30041
Forsyth County (770) 886-1074

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 Jeffrey Tucker's NPI number?

The NPI number for Jeffrey Tucker is 1265426738. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Jeffrey Tucker located?

Jeffrey Tucker practices at 980 Sanders Rd Suite 100, Cumming, GA 30041. The listed phone number is (770) 886-1074.

What is Jeffrey Tucker's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeffrey Tucker enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Tucker accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jeffrey 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 Jeffrey Tucker affiliated with any hospitals?

According to CMS data, Jeffrey Tucker is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Tucker was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.