DR. KIMBERLY VICTORIA TUCKER (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1023308988

DR. KIMBERLY VICTORIA TUCKER (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 25MA09920700 (NJ). The NPI Number for DR. KIMBERLY VICTORIA TUCKER (M.D.) is 1023308988

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY VICTORIA TUCKER (M.D.)
NPI
1023308988
Phone
(844) 362-1735
Address
PO BOX 416457
Enumeration Date
13 April 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9738700777
Graduation Year
2011 (15 years ago)
PAC ID
0143587535
Group Practice PAC ID
9931467941
Professional Enrollment ID
I20171120000537
Address ID
NJ074702166WA342XXTPKE307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

916 ORTHOPEDIC SURGERY in NJ

Provider Addresses for DR. KIMBERLY VICTORIA TUCKER (M.D.)

  • PO BOX 416457

    BOSTON, MA 022416457

    Phone: (844) 362-1735

    Fax: (973) 290-7495

    Type: Mailing

  • 720 US HIGHWAY 202/206

    BRIDGEWATER, NJ 088071746

    Phone: (908) 722-2033

    Fax: (908) 707-8344

    Type: Location

  • 720 US Highway 202/206

    Bridgewater, NJ 088071746

    Phone: (908) 722-2033

    Fax: (908) 707-8344

    Type: Location

  • 90 Bergen St

    DOC Suite 7300

    Newark, NJ 071032425

    Phone: (973) 972-3860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $7,776.

Total Amount is formed as General ($7,776) + Research ($0) + Ownership ($0) = $7,776.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Seapearl East, Inc ($2,793).

Total Amount

$7,776

General + Research + Ownership

Payments

100

Total payment records

General Amount

$7,776

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-11-20

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
I20171120000537IOrthopedic SurgeryNJTBD

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
J7332Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg58012$0
99213Established patient office or other outpatient visit, 20-29 minutes4327$0
20610Aspiration and/or injection of fluid from large joint2713$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 9931467941View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Orthopedic SurgeryNY
Physical Medicine And Rehabilitation, Osteopathic Manipulative MedicinePA
P O D I A T R YNJ
Physician AssistantNJ
Osteopathic Manipulative MedicineNJ
Osteopathic Manipulative MedicineVA
Orthopedic SurgeryIL
P O D I A T R YNJ
P O D I A T R YNJ

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KIMBERLY VICTORIA TUCKER (M.D.)'s NPI?
Yes. DR. KIMBERLY VICTORIA TUCKER (M.D.) is listed with NPI 1023308988 in the public NPI dataset.
Can I rely on DR. KIMBERLY VICTORIA TUCKER (M.D.) being an active provider?
As of the registry snapshot, DR. KIMBERLY VICTORIA TUCKER (M.D.) is marked active.
What is DR. KIMBERLY VICTORIA TUCKER (M.D.)'s specialty?
The listing groups DR. KIMBERLY VICTORIA TUCKER (M.D.) with Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KIMBERLY VICTORIA TUCKER (M.D.) based?
DR. KIMBERLY VICTORIA TUCKER (M.D.) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about DR. KIMBERLY VICTORIA TUCKER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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