ELIZABETH B TUCKER (MD) – Internal Medicine Physician, NPI 1487608345

ELIZABETH B TUCKER (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME160145 (FL). The NPI Number for ELIZABETH B TUCKER (MD) is 1487608345

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH B TUCKER (MD)
NPI
1487608345
Phone
(904) 450-6063
Address
4205 BELFORT RD STE 4015
Enumeration Date
22 May 2006
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8502783390
Graduation Year
1995 (31 years ago)
PAC ID
1850307166
Group Practice PAC ID
3779491386
Professional Enrollment ID
I20230313002653
Address ID
FL324619632IN12805EXXX501
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

2,215 INTERNAL MEDICINE in AL

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Provider Addresses for ELIZABETH B TUCKER (MD)

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6063

    Fax: (904) 539-4091

    Type: Mailing

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

    SUITE 100

    DOTHAN, AL 363013001

    Phone: (334) 794-1148

    Fax: (334) 793-7592

    Type: Mailing

  • 12805 US HIGHWAY 98 E UNIT G201

    INLET BEACH, FL 324619632

    Phone: (850) 278-3466

    Fax: (850) 278-3467

    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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Abbott Laboratories ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$13
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: 2023-03-13

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
I20060223000623IInternal MedicineALTBD
I20230313002653IInternal 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 minutes224168$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count147144$0
80053Blood test, comprehensive group of blood chemicals131131$0
80061Blood test, lipids (cholesterol and triglycerides)110110$0
84439Thyroxine (thyroid chemical), free6360$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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Provider's Procedures

ELIZABETH 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 tumors3131
INTERNAL MEDICINEAL90670Pneumococcal vaccine for injection into muscle123123

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 ELIZABETH B TUCKER (MD) for billing?
Administrative and clinical systems typically use NPI 1487608345 for ELIZABETH B TUCKER (MD).
Quick check: is ELIZABETH B TUCKER (MD) active?
Public NPPES data shows ELIZABETH B TUCKER (MD) with an active NPI status right now.
What does the directory say ELIZABETH B TUCKER (MD) does?
Insurance directories may phrase it differently, but here ELIZABETH B TUCKER (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ELIZABETH B TUCKER (MD)?
ELIZABETH B TUCKER (MD) shows a connection to Jacksonville, Florida in registry-derived data.
Why is information missing for ELIZABETH B TUCKER (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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