BRENT AUSTIN TUCKER PA-C
NPI 1396297248
Physician Assistant - Surgical in Olney, MD

Q: What is Brent Tucker's NPI number?

The NPI number for Brent Tucker is 1396297248. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Q: What is Brent Tucker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Brent Tucker was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 26, 2016PECOS EnrolledAccepts Medicare Assignment

3414 OLANDWOOD CT, OLNEY, MD 20832(301) 774-0500(301) 774-7338 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2019, Jan 11, 2017, Oct 26, 2016 (3 updates tracked since 2016).

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About Brent Austin Tucker Pa-c NPPES

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

BRENT AUSTIN TUCKER PA-C (NPI 1396297248) is an individual surgical provider in Olney, Maryland, licensed in Maryland (C06263) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1396297248

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameBRENT AUSTIN TUCKERCredential: PA-C

Location Address3414 OLANDWOOD CTOlney, MD 20832-1384

Mailing Address3414 Olandwood CtOlney, MD 20832-1384 · (301) 774-0500 · Fax (301) 774-7338

Phone(301) 774-0500

Fax(301) 774-7338

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 26, 2016

Last NPPES UpdateOctober 15, 20193 updates tracked since enumeration

✔ NPI 1396297248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MD · C06263

Also ListedPhysician AssistantTaxonomy 363A00000X · License C06263 (MD)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C06263 (MD)

3414 OLANDWOOD CT, Olney, MD 20832

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Secondary Practice Location 1

Location 110710 Charter Dr Ste 300Columbia, MD 21044-3260 · Phone (410) 644-1880 · Fax (410) 730-1617

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

Brent Austin Tucker Pa-c 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 ID1355624933

PECOS Enrollment IDI20170206000142, I20170206000203

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.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

16 services16 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210018

Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County

Emergency services Birthing friendly

Suburban Hospital

Acute Care Hospitals · Bethesda, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210022

Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County

Emergency services

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210048

Location5755 Cedar LaneColumbia, MD 21044 · Howard County

Emergency services Birthing friendly

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210065

Location19801 Observation DriveGermantown, MD 20876 · Montgomery County

Emergency services Birthing friendly

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.

JOHN NGUYEN LE D.P.T

Physical Therapist (Orthopedic)