DR. GLADSTONE A TUCKER (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1023087012

DR. GLADSTONE A TUCKER (MD) is a healthcare provider. based in Marion, Illinois. specializing in FAMILY PRACTICE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036111926 (IL). The NPI Number for DR. GLADSTONE A TUCKER (MD) is 1023087012

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLADSTONE A TUCKER (MD)
NPI
1023087012
Phone
(618) 997-9519
Address
1606 CASTLEBERRY DR
Enumeration Date
14 March 2006
Last Update Date
25 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189987000
Graduation Year
1980 (46 years ago)
PAC ID
0345293833
Group Practice PAC ID
9830562016
Professional Enrollment ID
I20050225000445
Address ID
IL629595884MA3333XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. GLADSTONE A TUCKER (MD)

  • Castleberry Street, Lebanon, Marion County, Kentucky, 40033, United States

    MARION, IL 629591586

    Phone: (618) 997-9519

    Fax: (618) 993-0592

    Type: Location

  • PO BOX 752

    CONCORDIA, MO 640200752

    Phone: (660) 463-1365

    Fax: (660) 463-1367

    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: 2005-02-25

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
I20050225000445IInternal MedicineILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3624$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2624$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
99238Hospital discharge day management, 30 minutes or less2020$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 62959)

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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: 9830562016View full group profile
NameSpecialtyState
Hospitalist, Family PracticeIL
Internal Medicine, HospitalistIL
Pulmonary DiseaseNM
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H O S P I T A L I S TMO
Neurology, Critical Care (Intensivists)IN
N E P H R O L O G YIL

Reviews

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Frequently asked questions

Can I verify DR. GLADSTONE A TUCKER (MD) with an NPI only?
You can start verification with NPI 1023087012 for DR. GLADSTONE A TUCKER (MD), then check state licensing separately.
Does the file indicate DR. GLADSTONE A TUCKER (MD) is practicing under active NPI?
Directory data currently reports DR. GLADSTONE A TUCKER (MD) as active.
What is DR. GLADSTONE A TUCKER (MD)'s specialty?
The listing groups DR. GLADSTONE A TUCKER (MD) with Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What area does DR. GLADSTONE A TUCKER (MD) serve?
DR. GLADSTONE A TUCKER (MD)'s listing highlights Marion, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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