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MYRA BETH TUCKERMAN MD
NPI 1831184381
Family Medicine in Boulder, CO

Active since September 12, 2005PECOS Enrolled
1790 30TH ST, SUITE 308, BOULDER, CO 80301(303) 440-0205(303) 440-0209 Get Directions Write a Review

NPPES record last updated: August 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Myra Beth Tuckerman Md NPPES

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

MYRA BETH TUCKERMAN MD (NPI 1831184381) is an individual family medicine provider in Boulder, Colorado, licensed in Colorado (45139) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831184381
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMYRA BETH TUCKERMANCredential: MD
Location Address1790 30TH ST, SUITE 308Boulder, CO 80301-1022
Mailing Address1790 30th St., Suite 308Boulder, CO 80301 · (303) 440-0205 · Fax (303) 440-0209
Phone(303) 440-0205
Fax(303) 440-0209
Sole ProprietorNo
Enumeration DateSeptember 12, 2005
Last NPPES UpdateAugust 15, 2008
✔ NPI 1831184381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 45139
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1790 30TH ST, Boulder, CO 80301
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Other Identifiers 4

Medicaid0191671OH
Medicare UPINC98191
Other080188923Railroad Medicare
Medicare PIN0790791

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myra Beth Tuckerman Md 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 80301 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 16

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

DR. LISA M LUCIANO PHD
Counselor (Mental Health)
1790 30TH ST, SUITE 440
BOULDER, CO 80301
Boulder County (303) 442-3755
LINDA L. WILKINSON PH.D, LPC
Counselor (Professional)
1790 30TH ST, SUITE 302
BOULDER, CO 80301
Boulder County (303) 442-5545
MS. GUDRUN A DILGER MED, MA, LPC, CACIII
Counselor (Addiction (Substance Use Disorder))
1790 30TH ST, SUITE 245
BOULDER, CO 80301
Boulder County (303) 859-5778
BRIAN T. SHEA DO LLC
Internal Medicine
1790 30TH ST, SUITE 120
BOULDER, CO 80301
Boulder County (303) 447-0022
EMILY MUERY
Chiropractor
1790 30TH ST
BOULDER, CO 80301
Boulder County (720) 636-6064
HILARY BOOCO
Speech-Language Pathologist
1790 30TH ST, SUITE 120
BOULDER, CO 80301
Boulder County (303) 447-0022
RUTH WHARTON M.A., LPC
Counselor (Professional)
1790 30TH ST, SUITE 200
BOULDER, CO 80301
Boulder County (303) 494-1778
BOULDER THERAPEUTICS, INC.
Massage Therapist
1790 30TH ST, SUITE #200
BOULDER, CO 80301
Boulder County (303) 444-1171

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 Myra Tuckerman's NPI number?

The NPI number for Myra Tuckerman is 1831184381. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Myra Tuckerman located?

Myra Tuckerman practices at 1790 30th St Suite 308, Boulder, CO 80301. The listed phone number is (303) 440-0205.

What is Myra Tuckerman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Myra Tuckerman enrolled in Medicare?

Yes. Myra Tuckerman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myra Tuckerman was last updated on August 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.