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DOUGLAS TUCKER MD
NPI 1588093843
Internal Medicine in Syracuse, NY

Active since November 07, 2013PECOS Enrolled
100 MALTA LN, SYRACUSE, NY 13212(315) 703-3586 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Tucker Md NPPES

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

DOUGLAS TUCKER MD (NPI 1588093843) is an individual internal medicine provider in Syracuse, New York, licensed in New York (168294) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588093843
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS TUCKERCredential: MD
Location Address100 MALTA LNSyracuse, NY 13212-2375
Mailing Address177 Lawrence Rd ENorth Syracuse, NY 13212-3844 · (315) 703-3586
Phone(315) 703-3586
Sole ProprietorNo
Enumeration DateNovember 7, 2013
✔ NPI 1588093843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 168294
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 MALTA LN, Syracuse, NY 13212
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Other Identifiers 1

Other1548366271NY · Clinic Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Tucker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13212 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 5

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

PAUL JAY HEINS PT
Physical Therapist (Geriatrics)
100 MALTA LN
SYRACUSE, NY 13212
Onondaga County (315) 452-5800
DR. TWINKLE SANJAY PATEL MD
Family Medicine (Geriatric Medicine)
100 MALTA LN
NORTH SYRACUSE, NY 13212
Onondaga County (315) 452-5800
BRENDA PARKER
Nurse Practitioner (Family)
100 MALTA LN
NORTH SYRACUSE, NY 13212
Onondaga County (315) 452-5800
GABRIELE DIETRICH OTR/L
Occupational Therapist
100 MALTA LN
NORTH SYRACUSE, NY 13212
Onondaga County (315) 413-4547
LORETTO INDEPENDENT LIVING SERVICES INC.
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
100 MALTA LN
NORTH SYRACUSE, NY 13212
Onondaga County (315) 452-5800

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 Douglas Tucker's NPI number?

The NPI number for Douglas Tucker is 1588093843. It was assigned to this individual provider in the NPPES registry on November 7, 2013.

Where is Douglas Tucker located?

Douglas Tucker practices at 100 Malta Ln, Syracuse, NY 13212. The listed phone number is (315) 703-3586.

What is Douglas Tucker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas Tucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Douglas Tucker was last updated on November 7, 2013. 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.