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RANDALL D TUCKER DMD
NPI 1598817694
Dentist - Prosthodontics in Andover, MA

Active since January 17, 2007PECOS Enrolled
166 NORTH MAIN STREET, ANDOVER, MA 01810(978) 475-8656(978) 470-2788 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randall D Tucker Dmd NPPES

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

RANDALL D TUCKER DMD (NPI 1598817694) is an individual prosthodontics provider in Andover, Massachusetts, licensed in Massachusetts (15913) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598817694
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameRANDALL D TUCKERCredential: DMD
Location Address166 NORTH MAIN STREETAndover, MA 01810
Mailing Address166 North Main StreetAndover, MA 01810 · (978) 475-8656 · Fax (978) 470-2788
Phone(978) 475-8656
Fax(978) 470-2788
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1598817694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in MA · 15913
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
166 NORTH MAIN STREET, Andover, MA 01810
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall D Tucker Dmd 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 01810 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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 Randall Tucker's NPI number?

The NPI number for Randall Tucker is 1598817694. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Randall Tucker located?

Randall Tucker practices at 166 North Main Street, Andover, MA 01810. The listed phone number is (978) 475-8656.

What is Randall Tucker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Randall Tucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Randall Tucker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.