DR. MICHAEL A TUCKER (O.D.) – Optometrist, NPI 1902210107

DR. MICHAEL A TUCKER (O.D.) is a healthcare provider. based in Pocatello, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPD - 100304 (ID). The NPI Number for DR. MICHAEL A TUCKER (O.D.) is 1902210107

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL A TUCKER (O.D.)
NPI
1902210107
Phone
(208) 233-2020
Address
1155 POCATELLO CREEK RD
Enumeration Date
16 June 2014
Last Update Date
16 June 2014

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
2082332020
Graduation Year
2014 (12 years ago)
PAC ID
2961627096
Group Practice PAC ID
6608995303
Professional Enrollment ID
I20140703002092
Address ID
ID832012949PO1155XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

268 OPTOMETRY in ID

Provider Addresses for DR. MICHAEL A TUCKER (O.D.)

  • 1155 POCATELLO CREEK RD

    POCATELLO, ID 832012949

    Phone: (208) 233-2020

    Fax: (208) 233-2021

    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)

CMS reports 28 Open Payments records for all available years, with a total value of $666.

Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alcon Vision LLC ($182).

Total Amount

$666

General + Research + Ownership

Payments

28

Total payment records

General Amount

$666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2014-07-03

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
I20140703002092IOptometryIDTBD

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
92250Photography of the retina143142$0
92014Established patient complete exam of visual system139138$0
66984Removal of cataract with insertion of prosthetic lens3723$0
92004New patient complete exam of visual system2727$0
99213Established patient office or other outpatient visit, 20-29 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 83201)

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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: 6608995303View full group profile
NameSpecialtyState
-ID
O P T O M E T R YID
O P T O M E T R YTX

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL A TUCKER (O.D.)?
The federal identifier for DR. MICHAEL A TUCKER (O.D.) is NPI 1902210107.
Does this profile mean DR. MICHAEL A TUCKER (O.D.) is currently active?
Yes — DR. MICHAEL A TUCKER (O.D.) appears active in the national provider directory.
Can you summarize DR. MICHAEL A TUCKER (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. MICHAEL A TUCKER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MICHAEL A TUCKER (O.D.)?
The page summarizes Pocatello, Idaho for DR. MICHAEL A TUCKER (O.D.); expand the address list for detail.
What if Pocatello, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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