DR. STEVEN R. TUCKER (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1144219643

DR. STEVEN R. TUCKER (D.M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials D.M.D.. They hold a License No. 4475 (KY). The NPI Number for DR. STEVEN R. TUCKER (D.M.D.) is 1144219643

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEVEN R. TUCKER (D.M.D.)
NPI
1144219643
Phone
(270) 485-2762
Address
100 SOMERSLY PL
Enumeration Date
18 October 2005
Last Update Date
2 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
Secondary Phone
8592186926
Graduation Year
1974 (52 years ago)
PAC ID
0547409492
Group Practice PAC ID
3072425289
Professional Enrollment ID
I20180201001913
Address ID
KY405043504LE2195XRDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

23 MAXILLOFACIAL SURGERY in KY

Provider Addresses for DR. STEVEN R. TUCKER (D.M.D.)

  • 100, Somersly Place, Ellerslie, Lexington, Fayette County, Kentucky, 40515, United States

    LEXINGTON, KY 405155717

    Phone: (270) 485-2762

    Type: Mailing

  • 800 ROSE ST STE D214A

    LEXINGTON, KY 405366048

    Phone: (270) 485-2762

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-10-30 • Largest payer in this snapshot: KLS-Martin L.P. ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KLS-Martin L.P.$87
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: 2018-02-01

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
I20180201001913IMaxillofacial SurgeryKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40515)

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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: 3072425289View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerAR
Physician AssistantKY
Physician AssistantKY
-KY

Reviews

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Frequently asked questions

What number should I use to identify DR. STEVEN R. TUCKER (D.M.D.) for billing?
Administrative and clinical systems typically use NPI 1144219643 for DR. STEVEN R. TUCKER (D.M.D.).
Is DR. STEVEN R. TUCKER (D.M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. STEVEN R. TUCKER (D.M.D.) as active.
What services align with DR. STEVEN R. TUCKER (D.M.D.)'s listing?
DR. STEVEN R. TUCKER (D.M.D.)'s public classification highlights Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. STEVEN R. TUCKER (D.M.D.)?
DR. STEVEN R. TUCKER (D.M.D.) is associated with Lexington, Kentucky in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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