DR. EDWARD O TACKEY MD
NPI 1669488110
Internal Medicine - Rheumatology in Salem, VA
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
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Edward Tackey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Perryville, MD 21903
- Reassigned Medicare billing, Maryland enrollment
- 512 clinicians in this Medicare group
Glassboro, NJ 08028
- Reassigned Medicare billing, New Jersey enrollment
- 438 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NJThomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Edward Tackey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Tackey reassigns Medicare benefits to 2 organizations: Union Hospital Of Cecil County, Inc (Perryville, MD) and Kennedy Medical Group Practice P.C. (Glassboro, NJ). Each 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 Edward Tackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Tackey accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Edward Tackey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 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.
# Dr. Edward O Tackey, MD · NPI 1669488110
Rheumatology physician in Salem, Virginia. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1669488110 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** C1-0023857 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 1930 BRAEBURN CIR, Salem, VA 24153-7388
- **Phone:** (540) 772-3707 · **Fax:** (540) 772-3739
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Union Hospital Of Cecil County, Inc (NPI 1639920648, Perryville, MD); Kennedy Medical Group Practice P.C. (NPI 1740213461, Glassboro, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** August 26, 2020
- **Other identifiers:** Medicaid 1669488110 (VA); Medicaid 227217 (OR); Other P00621111 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669488110) · Data from the CMS NPPES public registry.