KENNETH B TUCKER (MD) – Internal Medicine Physician, NPI 1346294204

KENNETH B TUCKER (MD) is a healthcare provider. based in Inlet beach, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME160121 (FL). The NPI Number for KENNETH B TUCKER (MD) is 1346294204

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH B TUCKER (MD)
NPI
1346294204
Phone
(850) 278-3551
Address
180 N WATERSOUND PKWY
Enumeration Date
22 May 2006
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8504161575
Graduation Year
1995 (31 years ago)
PAC ID
6608907191
Group Practice PAC ID
3779491386
Professional Enrollment ID
I20230316002241
Address ID
FL325414713DE36500PKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for KENNETH B TUCKER (MD)

  • 180 N WATERSOUND PKWY

    INLET BEACH, FL 324617274

    Phone: (850) 278-3551

    Fax: (850) 378-3596

    Type: Location

  • 1118, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States

    SUITE 100

    DOTHAN, AL 363013001

    Phone: (334) 794-1148

    Fax: (334) 793-1954

    Type: Mailing

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6063

    Fax: (904) 539-4091

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-04-17 • Largest payer in this snapshot: Novo Nordisk Inc ($14).

Total Amount

$27

General + Research + Ownership

Payments

2

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100628000355IInternal MedicineALTBD
I20230316002241IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes528388$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only246204$0
80053Blood test, comprehensive group of blood chemicals197195$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count156153$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit116116$0
View full utilization report →

Insurance plans in this area (ZIP 32461)

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Provider's Procedures

KENNETH B TUCKER (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAL82270Stool analysis for blood to screen for colon tumors4242
INTERNAL MEDICINEAL83036Hemoglobin A1C level537259
INTERNAL MEDICINEAL85610Blood test, clotting time39429
INTERNAL MEDICINEAL90670Pneumococcal vaccine for injection into muscle201198

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: 3779491386View full group profile

Reviews

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Frequently asked questions

What number should I use to identify KENNETH B TUCKER (MD) for billing?
Administrative and clinical systems typically use NPI 1346294204 for KENNETH B TUCKER (MD).
Does the public listing show KENNETH B TUCKER (MD) as active?
KENNETH B TUCKER (MD)'s NPI record reflects an active status in NPPES.
What type of care does KENNETH B TUCKER (MD) provide?
KENNETH B TUCKER (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KENNETH B TUCKER (MD)?
KENNETH B TUCKER (MD) shows a connection to Inlet Beach, Florida in registry-derived data.
Can I export KENNETH B TUCKER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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