DALE TUCKER (MD) – Family Medicine Physician, NPI 1720024425
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DALE TUCKER (MD)
10503 San Jose Blvd
Jacksonville, FL 322576295
Phone: (904) 450-6700
Fax: (904) 450-6691
Type: Location
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328863026
Phone: (904) 346-5426
Fax: (904) 346-0113
Type: Mailing
10503, San Jose Boulevard, Plummers, Jacksonville, Duval County, Florida, 32257, United States
JACKSONVILLE, FL 322576295
Phone: (904) 450-6700
Fax: (904) 450-6691
Type: Location
1506 ALICE ST
WAYCROSS, GA 315014531
Phone: (912) 584-6500
Type: Location
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 346-5426
Fax: (904) 346-0113
Type: Mailing
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: 2018-12-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060509000179 | I | Family Practice | FL | TBD |
| I20181212002518 | I | Family Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 27 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
| 81003 | Automated urinalysis test | 19 | 19 | $0 |
Insurance plans in this area (ZIP 32257)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL |
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