DR. REVA DUFF TACKETT (MD) – Gynecology Physician, NPI 1215916044

DR. REVA DUFF TACKETT (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 20064 (KY). The NPI Number for DR. REVA DUFF TACKETT (MD) is 1215916044

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. REVA DUFF TACKETT (MD)
NPI
1215916044
Phone
(859) 278-0363
Address
1720 NICHOLASVILLE RD
Enumeration Date
11 January 2006
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8592648811
Graduation Year
1981 (45 years ago)
PAC ID
7719002864
Group Practice PAC ID
0749188142
Professional Enrollment ID
I20100914000471
Address ID
KY405092480LE1775XWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

631 OBSTETRICS/GYNECOLOGY in KY

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Provider Addresses for DR. REVA DUFF TACKETT (MD)

  • Nicholasville Road, Lexington, Fayette County, Kentucky, 40503, United States

    STE 403

    LEXINGTON, KY 40503

    Phone: (859) 278-0363

    Fax: (859) 277-6938

    Type: Mailing

  • 1720 NICHOLASVILLE RD STE 702

    LEXINGTON, KY 405031489

    Phone: (859) 264-8811

    Fax: (859) 264-8822

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $566.

Total Amount is formed as General ($566) + Research ($0) + Ownership ($0) = $566.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($102).

Total Amount

$566

General + Research + Ownership

Payments

37

Total payment records

General Amount

$566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2010-09-14

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
I20100914000471IObstetrics/GynecologyKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes181150$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination170170$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory127127$0
99212Established patient office or other outpatient visit, 10-19 minutes6663$0
81002Urinalysis, manual test2927$0
View full utilization report →

Insurance plans in this area (ZIP 40503)

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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: 0749188142View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIN
-OH
O B S T E T R I C S/ G Y N E C O L O G YIN
-OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YIN
O B S T E T R I C S/ G Y N E C O L O G YIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Nurse PractitionerKY
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the registry number for DR. REVA DUFF TACKETT (MD)?
The registry entry for DR. REVA DUFF TACKETT (MD) shows NPI 1215916044.
Does the public listing show DR. REVA DUFF TACKETT (MD) as active?
DR. REVA DUFF TACKETT (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. REVA DUFF TACKETT (MD)?
NPPES ties DR. REVA DUFF TACKETT (MD) to Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. REVA DUFF TACKETT (MD)?
The directory associates DR. REVA DUFF TACKETT (MD) with Lexington, Kentucky. Check all listed addresses for suites or satellite offices.
Who maintains DR. REVA DUFF TACKETT (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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