MR. JASON MARK TUCKER (PA-C) – Physician Assistant, NPI 1093367013
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MR. JASON MARK TUCKER (PA-C)
6441 PINE VALLEY RD
CLARKSTON, MI 483462231
Phone: (248) 202-3069
Type: Mailing
8655, Buffalo Drive, Commerce Township, Oakland County, Michigan, 48382, United States
COMMERCE TOWNSHIP, MI 483823409
Phone: (248) 202-3069
Type: Mailing
1400 MERCY DR STE 100
MUSKEGON, MI 494441833
Phone: (231) 733-1326
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 $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ConvaTec Inc. ($19).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $19 |
| Nalu Medical, Inc. | $18 |
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: 2021-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210608002046 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 73620 | X-ray of foot, 2 views | 22 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 21 | $0 |
| 73600 | X-ray of ankle, 2 views | 14 | 11 | $0 |
Insurance plans in this area (ZIP 48346)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MI | |
| Physician Assistant | TX | |
| Physician Assistant | MI | |
| Orthopedic Surgery | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| Orthopedic Surgery | MI | |
| Orthopedic Surgery | MN | |
| - | MI |
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