CASEY L TUCKER (DC) – Chiropractor, NPI 1083667463

CASEY L TUCKER (DC) is a healthcare provider. based in Santa rosa, California. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. DC 23602 (CA). The NPI Number for CASEY L TUCKER (DC) is 1083667463

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
CASEY L TUCKER (DC)
NPI
1083667463
Phone
(707) 526-9355
Address
1211 COLLEGE AVE
Enumeration Date
18 May 2006
Last Update Date
29 August 2012

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
7075269355
Graduation Year
1995 (31 years ago)
PAC ID
2365451119
Professional Enrollment ID
I20060407000621
Address ID
CA954054721SA255XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,358 CHIROPRACTIC in CA

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Provider Addresses for CASEY L TUCKER (DC)

  • 1211, College Avenue, Santa Rosa, Sonoma County, California, 95404, United States

    SANTA ROSA, CA 954043907

    Phone: (707) 526-9355

    Fax: (707) 526-9081

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060407000621IChiropracticCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions1,05597$0
98940Chiropractic manipulative treatment, 1-2 spinal regions31642$0
View full utilization report →

Insurance plans in this area (ZIP 95404)

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Reviews

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Frequently asked questions

What is the standard ID for CASEY L TUCKER (DC) in the U.S.?
In the U.S., CASEY L TUCKER (DC) is identified by NPI 1083667463.
Quick check: is CASEY L TUCKER (DC) active?
Public NPPES data shows CASEY L TUCKER (DC) with an active NPI status right now.
What does the directory say CASEY L TUCKER (DC) does?
Insurance directories may phrase it differently, but here CASEY L TUCKER (DC) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CASEY L TUCKER (DC)?
CASEY L TUCKER (DC) is associated with Santa Rosa, California in the same public data insurers reference.
Who maintains CASEY L TUCKER (DC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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