WILLIAM TUCKER MD PLLC
NPI 1619011715
Ophthalmology in Fayetteville, NY
About William Tucker Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM TUCKER MD PLLC (NPI 1619011715) is a healthcare organization registered as an ophthalmology in Fayetteville, New York and active in the NPI registry since February 2007. The organization lists William M Tucker, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William Tucker Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to William Tucker MD PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Fayetteville, NY 13066
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 William Tucker MD PLLC's NPI number?
The NPI number for William Tucker MD PLLC is 1619011715. It was assigned to this organization in the NPPES registry on February 20, 2007.
Where is William Tucker MD PLLC located?
William Tucker MD PLLC is located at 4000 Medical Center Dr Suite 207, Fayetteville, NY 13066. The listed phone number is (315) 637-1010.
What is William Tucker MD PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is William Tucker MD PLLC enrolled in Medicare?
Yes. William Tucker MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through William Tucker MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to William Tucker MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for William Tucker MD PLLC was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# William Tucker Md Pllc · NPI 1619011715
Ophthalmology organization in Fayetteville, New York. Organization record, active in the CMS NPPES registry since February 20, 2007.
## Identity
- **NPI:** 1619011715 (Entity type: Organization)
- **Enumerated:** February 20, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** William Tucker, PHYSICIAN
## Practice location
- **Address:** 4000 MEDICAL CENTER DR, SUITE 207, Fayetteville, NY 13066-6631
- **Phone:** (315) 637-1010 · **Fax:** (315) 637-2010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1619011715) · Data from the CMS NPPES public registry.