JONATHAN TUCKER PRIME – Foot & Ankle Surgery Podiatrist, NPI 1669042172
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
Provider Addresses for JONATHAN TUCKER PRIME
2315 GREEN VALLEY RD STE 200
NEW ALBANY, IN 471504690
Phone: (812) 949-1002
Type: Mailing
302 AXIS DR APT 307
LOUISVILLE, KY 402060139
Phone: (171) 747-5974
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $6,492.
Total Amount is formed as General ($6,492) + Research ($0) + Ownership ($0) = $6,492.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: VILEX LLC ($1,876).
Total Amount
$6,492
General + Research + Ownership
Payments
83
Total payment records
General Amount
$6,492
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
| Company | Amount |
|---|---|
| VILEX LLC | $1,876 |
| Stryker Corporation | $1,588 |
| Integra LifeSciences Corporation | $537 |
| Bone Support Inc. | $290 |
| Sanara MedTech Inc. | $232 |
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: 2024-08-21
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 |
|---|---|---|---|---|
| I20240724000765 | I | Podiatry | IN | TBD |
| I20240821001801 | I | Podiatry | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | KY | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | KY |
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