DR. GLENN A TUCKMAN (MD) – Diagnostic Radiology Physician, NPI 1821091620
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
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Provider Addresses for DR. GLENN A TUCKMAN (MD)
Shamel Drive, Indianapolis, Indiana, 46278, United States
INDIANAPOLIS, IN 462781170
Phone: (317) 876-1229
Type: Mailing
Landmark Drive, Lafayette, Tippecanoe County, Indiana, 47905, United States
STE D
LAFAYETTE, IN 479056654
Phone: (765) 449-7984
Fax: (765) 449-9791
Type: Location
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (319) 356-3444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2023-02-16 • Largest payer in this snapshot: Boston Scientific Corporation ($36).
Total Amount
$36
General + Research + Ownership
Payments
2
Total payment records
General Amount
$36
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $36 |
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: 2026-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20050817000085 | I | Diagnostic Radiology | IN | TBD |
| I20110810000222 | I | Diagnostic Radiology | FL | TBD |
| I20121203000049 | I | Diagnostic Radiology | IA | TBD |
| I20130701000308 | I | Diagnostic Radiology | WI | TBD |
| I20130726000072 | I | Diagnostic Radiology | PA | TBD |
| I20150604002928 | I | Diagnostic Radiology | IL | TBD |
| I20260115002390 | I | Diagnostic Radiology | TN | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 9,610 | 59 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 3,300 | 33 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 199 | 195 | $0 |
| 71046 | X-ray of chest, 2 views | 83 | 78 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 73 | 73 | $0 |
Insurance plans in this area (ZIP 46278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Physician Assistant | MN | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | TX | |
| - | MN | |
| Diagnostic Radiology | MN |
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