DR. EDWARD O TACKEY MD
NPI 1669488110
Internal Medicine - Rheumatology in Salem, VA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
99/100
CMS Quality Rating
1930 BRAEBURN CIR, SALEM, VA 24153(540) 772-3707(540) 772-3739 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward O Tackey Md NPPES

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

DR. EDWARD O TACKEY MD (NPI 1669488110) is an individual rheumatology provider in Salem, Virginia, licensed in Delaware (C1-0023857) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1669488110
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. EDWARD O TACKEYCredential: MD
Location Address1930 BRAEBURN CIRSalem, VA 24153-7388
Mailing Address260 Beiser Blvd, Ste 201Dover, DE 19904-5773 · (302) 678-7438 · Fax (866) 984-3197
Fax(540) 772-3739
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
NPI 1669488110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in DE · C1-0023857 Licensed in VA · 0101243144
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedSpecialistTaxonomy 174400000X · License MD24622 (OR)
1930 BRAEBURN CIR, Salem, VA 24153

Other Identifiers 3

Medicaid1669488110VA
Medicaid227217OR
OtherP00621111VA · Medicare Railroad

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. Edward O Tackey Md 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 ID1951359074
PECOS Enrollment IDI20240710003563
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

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.

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.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.5
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 8

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

Family Medicine
1930 BRAEBURN CIR
SALEM, VA 24153
Internal Medicine (Rheumatology)
1930 BRAEBURN CIR
SALEM, VA 24153
Physician Assistant
1930 BRAEBURN CIR
SALEM, VA 24153
Family Medicine
1930 BRAEBURN CIR
SALEM, VA 24153
Internal Medicine (Rheumatology)
1930 BRAEBURN CIR
SALEM, VA 24153
Physician Assistant
1930 BRAEBURN CIR
SALEM, VA 24153
Internal Medicine (Rheumatology)
1930 BRAEBURN CIR
SALEM, VA 24153
Nurse Practitioner (Family)
1930 BRAEBURN CIR
SALEM, VA 24153

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 Edward Tackey's NPI number?

The NPI number for Edward Tackey is 1669488110. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Edward Tackey located?

Edward Tackey practices at 1930 Braeburn Cir, Salem, VA 24153. The listed phone number is (540) 772-3707.

What is Edward Tackey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Edward Tackey enrolled in Medicare?

Yes. Edward Tackey 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.

Is Edward Tackey affiliated with any hospitals?

According to CMS data, Edward Tackey is affiliated with Jefferson Stratford Hospital and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Edward Tackey was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.