BRUCE NICHOLSON TUCKER M.D.
NPI 1780677054
Internal Medicine in Santa Rosa, CA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
3536 MENDOCINO AVE, STE 300, SANTA ROSA, CA 95403(707) 544-3411(707) 544-0834 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bruce Nicholson Tucker M.d. NPPES

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

BRUCE NICHOLSON TUCKER M.D. (NPI 1780677054) is an individual internal medicine provider in Santa Rosa, California, licensed in California (G44233) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1979).

NPPES Registry Identity

NPI1780677054
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRUCE NICHOLSON TUCKERCredential: M.D.
Location Address3536 MENDOCINO AVE, STE 300Santa Rosa, CA 95403-3634
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 575-6049 · Fax (707) 544-0834
Fax(707) 544-0834
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1979
Enumeration DateAugust 23, 2005
Last NPPES UpdateFebruary 7, 2012
NPI 1780677054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G44233
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.
3536 MENDOCINO AVE, Santa Rosa, CA 95403

Other Identifiers 7

Medicare PINEB548ZCA
Medicare PIN00G442330CA
Medicare PIN00G442332CA
Other00G442330Blue Shield Of California
Medicare UPINA49590
Medicaid00G442330CA
OtherP00420858CA · Railroad Medicare

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

Bruce Nicholson Tucker M.d. 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 ID749372019
PECOS Enrollment IDI20070816000824
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 21

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,100 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
720 services432 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
374 services372 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
365 services365 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
361 services279 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
74 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers41 claims96 services$5.82 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
2 suppliers13 claims340 services$3.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims78 services$2.61 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier20 claims6,872 services$0.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$84.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Dentist (Endodontics)
3536 MENDOCINO AVE, SUITE #330
SANTA ROSA, CA 95403
Ophthalmology
3536 MENDOCINO AVE, STE. 380
SANTA ROSA, CA 95403
Internal Medicine
3536 MENDOCINO AVE, STE 300
SANTA ROSA, CA 95403
Nurse Practitioner (Family)
3536 MENDOCINO AVE, SUITE 200
SANTA ROSA, CA 95403
Internal Medicine
3536 MENDOCINO AVE, STE 300
SANTA ROSA, CA 95403
Ophthalmology (Retina Specialist)
3536 MENDOCINO AVE, STE 380
SANTA ROSA, CA 95403
Clinic/Center (Dental)
3536 MENDOCINO AVE, SUITE 330
SANTA ROSA, CA 95403
Internal Medicine (Interventional Cardiology)
3536 MENDOCINO AVE, STE 200
SANTA ROSA, CA 95403

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 Bruce Tucker's NPI number?

The NPI number for Bruce Tucker is 1780677054. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Bruce Tucker located?

Bruce Tucker practices at 3536 Mendocino Ave Ste 300, Santa Rosa, CA 95403. The listed phone number is (707) 544-3411.

What is Bruce Tucker's specialty?

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

Is Bruce Tucker enrolled in Medicare?

Yes. Bruce Tucker 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.

When was this NPI record last updated?

The NPPES record for Bruce Tucker was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.