DR. TUCKER EDWARD DANGREMOND (MD) – Student in an Organized Health Care Education/Training Program, NPI 1235703067

DR. TUCKER EDWARD DANGREMOND (MD) is a healthcare provider. based in Colorado springs, Colorado. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 0074801 (CO). The NPI Number for DR. TUCKER EDWARD DANGREMOND (MD) is 1235703067

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. TUCKER EDWARD DANGREMOND (MD)
NPI
1235703067
Phone
(719) 471-2020
Address
2770 N UNION BLVD STE 240
Enumeration Date
17 May 2021
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7194712020
Graduation Year
2021 (5 years ago)
PAC ID
7517368251
Group Practice PAC ID
6305735952
Professional Enrollment ID
I20250703003680
Address ID
CO809091193CO2770XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

396 OPHTHALMOLOGY in CO

Provider Addresses for DR. TUCKER EDWARD DANGREMOND (MD)

  • 2770 N UNION BLVD STE 240

    COLORADO SPRINGS, CO 809091193

    Phone: (719) 471-2020

    Fax: (719) 633-7379

    Type: Mailing

  • 6901 51ST ST

    LUBBOCK, TX 794073111

    Phone: (719) 337-3730

    Type: Mailing

  • 3601 4TH ST

    LUBBOCK, TX 794300002

    Phone: (806) 743-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-06-10 • Largest payer in this snapshot: Alcon Vision LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$20
View all Open Payments →|Open Payments Risk Radar →

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: 2025-07-03

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
I20250703003680IOphthalmologyCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80909)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305735952View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YCO

Reviews

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Frequently asked questions

Where can patients find DR. TUCKER EDWARD DANGREMOND (MD)'s NPI?
You can confirm DR. TUCKER EDWARD DANGREMOND (MD) with NPI 1235703067; it appears in the national provider directory.
Is DR. TUCKER EDWARD DANGREMOND (MD) active in the national directory?
DR. TUCKER EDWARD DANGREMOND (MD)'s public NPI profile is in an active state.
Can you summarize DR. TUCKER EDWARD DANGREMOND (MD)'s specialty in plain language?
Clinically, the directory lists DR. TUCKER EDWARD DANGREMOND (MD) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What location shows for DR. TUCKER EDWARD DANGREMOND (MD)?
We surface Colorado Springs, Colorado for DR. TUCKER EDWARD DANGREMOND (MD) based on available NPPES addresses.
How can I contact DR. TUCKER EDWARD DANGREMOND (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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