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DR. WAYNE I TUCKER D.O, P.A.
NPI 1356430821
Family Medicine in Bear, DE

Active since October 12, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 08D1009707 · Waiver
101 BECKS WOODS DR, SUITE 100, BEAR, DE 19701(302) 838-1100(302) 838-8962 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wayne I Tucker D.o, P.a. NPPES

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

DR. WAYNE I TUCKER D.O, P.A. (NPI 1356430821) is an individual family medicine provider in Bear, Delaware, licensed in Delaware (C20004133) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 23, 2027, and is affiliated with Union Hospital Of Cecil County.

NPPES Registry Identity

NPI1356430821
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WAYNE I TUCKERCredential: D.O, P.A.
Location Address101 BECKS WOODS DR, SUITE 100Bear, DE 19701-3854
Mailing Address101 Becks Woods Dr, Suite 100Bear, DE 19701-3854 · (302) 838-1100 · Fax (302) 838-8962
Phone(302) 838-1100
Fax(302) 838-8962
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1989
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 16, 2014
✔ NPI 1356430821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C20004133
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.
101 BECKS WOODS DR, Bear, DE 19701
Open in Google Maps ↗

Other Identifiers 1

Other510410516DE · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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. Wayne I Tucker D.o, P.a. 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 ID3476543240
PECOS Enrollment IDI20120301000130
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D1009707

Dr Wayne I Tucker · Bear, DE
Active · expires Feb 23, 2027
CLIA Number08D1009707
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorWayne I. Tucker, Do
Laboratory Phone(302) 838-1100
Laboratory LocationDr Wayne I Tucker100, Becks Wood Drive, Suite # 202, Bear, DE 19701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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 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.
1,069 services351 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
316 services316 patients
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.
120 services92 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services50 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.
34 services34 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
29 services26 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19701 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers84 claims255 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers27 claims54 services$1.03 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier13 claims13 services$41.81 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims78 services$1.66 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers35 claims42 services$205.78 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 4

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

DELAWARE SPINE CENTER
Pain Medicine (Interventional Pain Medicine)
101 BECKS WOODS DR, SUITE 100
BEAR, DE 19701
New Castle County (302) 287-9914
KIDNEY HOME, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
101 BECKS WOODS DR, SUITE 102
BEAR, DE 19701
New Castle County (302) 355-2383
MRS. LINDA FORGIONE NP
Nurse Practitioner
101 BECKS WOODS DR, SUITE 100
BEAR, DE 19701
New Castle County (302) 838-1100
ENFUSE HEALTH AND WELLNESS LLC
Nurse Practitioner (Family)
101 BECKS WOODS DR
BEAR, DE 19701
New Castle County (302) 595-9964

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 Wayne Tucker's NPI number?

The NPI number for Wayne Tucker is 1356430821. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Wayne Tucker located?

Wayne Tucker practices at 101 Becks Woods Dr Suite 100, Bear, DE 19701. The listed phone number is (302) 838-1100.

What is Wayne Tucker's specialty?

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

Is Wayne Tucker enrolled in Medicare?

Yes. Wayne 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.

Does Wayne Tucker hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D1009707) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wayne Tucker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Wayne 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 Wayne Tucker affiliated with any hospitals?

According to CMS data, Wayne Tucker is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Wayne Tucker was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.