DR. ANTHONY TUCKER (M.D.) – Anesthesiology Physician, NPI 1063482883

DR. ANTHONY TUCKER (M.D.) is a healthcare provider. based in Clarksburg, Maryland. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 2011-01829 (NC). The NPI Number for DR. ANTHONY TUCKER (M.D.) is 1063482883

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY TUCKER (M.D.)
NPI
1063482883
Phone
Not provided
Address
12617 GRANITE ROCK RD
Enumeration Date
24 January 2006
Last Update Date
11 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9107211000
Graduation Year
1998 (28 years ago)
PAC ID
1355622911
Group Practice PAC ID
3971566761
Professional Enrollment ID
I20161220001162
Address ID
NC284228346BO240XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,398 ANESTHESIOLOGY in MD

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Provider Addresses for DR. ANTHONY TUCKER (M.D.)

  • Granite Rock Road, Clarksburg, Montgomery County, Maryland, 20871, United States

    CLARKSBURG, MD 208714458

    Phone:

    Type: Mailing

  • 8301, Wisconsin Avenue, Woodmont Triangle, Bethesda, Montgomery County, Maryland, 20814, United States

    BETHESDA, MD 208100001

    Phone: (301) 295-4991

    Type: Location

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: 2024-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20161220001162IAnesthesiologyNCTBD
I20181231001013IAnesthesiologyVATBD
I20210909001132IAnesthesiologyDCTBD
I20241025001441IAnesthesiologyMDTBD

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
00142Anesthesia for lens surgery1111$0
View full utilization report →

Insurance plans in this area (ZIP 20871)

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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: 3971566761View full group profile
NameSpecialtyState
-NC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)OH
-NC
Certified Registered Nurse Anesthetist (Crna)NC
-NC

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ANTHONY TUCKER (M.D.)?
NPI 1063482883 is assigned to DR. ANTHONY TUCKER (M.D.) under the national enumeration system.
Does this profile mean DR. ANTHONY TUCKER (M.D.) is currently active?
Yes — DR. ANTHONY TUCKER (M.D.) appears active in the national provider directory.
What does DR. ANTHONY TUCKER (M.D.) treat or focus on?
Patients typically see DR. ANTHONY TUCKER (M.D.) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ANTHONY TUCKER (M.D.)'s primary listing?
We display Clarksburg, Maryland because that is what the record indicates for DR. ANTHONY TUCKER (M.D.).
How can I contact DR. ANTHONY TUCKER (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.