DR. DOUGLAS TUCKER (M.D.) – Anesthesiology Physician, NPI 1043574445

DR. DOUGLAS TUCKER (M.D.) is a healthcare provider. based in Jackson, Mississippi. specializing in ANESTHESIOLOGY, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 23632 (MS). The NPI Number for DR. DOUGLAS TUCKER (M.D.) is 1043574445

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS TUCKER (M.D.)
NPI
1043574445
Phone
(601) 984-5914
Address
2500 N STATE ST
Enumeration Date
29 June 2012
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6015547400
Graduation Year
2016 (10 years ago)
PAC ID
7810213659
Group Practice PAC ID
1254328818
Professional Enrollment ID
I20160913002675
Address ID
MS394018246HA3688XDRXX402

Contacts

Secure Messaging
dtucker5220964@direct.casso.us.com
FHIR Endpoint
https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness95
Years active:13State licenses:1Other names

305 ANESTHESIOLOGY in MS

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

  • 2500 N STATE ST

    DEPARTMENT OF ANESTHESIOLOGY

    JACKSON, MS 392164500

    Phone: (601) 984-5914

    Fax: (601) 984-5915

    Type: Mailing

  • 970 Lakeland Dr Ste 45

    Jackson, MS 392164640

    Phone: (601) 200-4690

    Fax: (601) 200-4698

    Type: Location

  • 6800 W Layton Ave

    Greenfield, WI 532203819

    Phone: (225) 907-8386

    Type: Location

  • 400 Hospital RD

    Starkville, MS 397592163

    Phone: (662) 323-4230

    Fax: (662) 615-2554

    Type: Location

  • 2500 N State St

    Department of Anesthesiology

    Jackson, MS 392164500

    Phone: (601) 984-5914

    Fax: (601) 984-5915

    Type: Location

  • 107 DOCTORS PARK

    STARKVILLE, MS 397592174

    Phone: (662) 615-3751

    Fax: (662) 615-3754

    Type: Location

  • 350 N HUMPHREYS BLVD

    MEMPHIS, TN 381202177

    Phone: (901) 226-4003

    Fax: (901) 227-8591

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,726.

Total Amount is formed as General ($1,726) + Research ($0) + Ownership ($0) = $1,726.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Boston Scientific Corporation ($1,260).

Total Amount

$1,726

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,726

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2024-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160913002675IAnesthesiologyMSTBD
I20240712000128IFamily PracticeALTBD

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
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level694600$0
62323Injection of substance into lower spine canal using imaging guidance431379$0
64484Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level361320$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level355212$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level349208$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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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: 1254328818View full group profile
NameSpecialtyState
Nurse PractitionerMS
Orthopedic SurgeryMS
Physician AssistantMS
Orthopedic SurgeryMS
Diagnostic RadiologyTX
Nurse PractitionerMS
Physician AssistantMS
Physician AssistantMS
Orthopedic Surgery, Sports MedicineMS
Physical Therapist In Private PracticeMS

Reviews

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Frequently asked questions

Where can patients find DR. DOUGLAS TUCKER (M.D.)'s NPI?
You can confirm DR. DOUGLAS TUCKER (M.D.) with NPI 1043574445; it appears in the national provider directory.
Does this profile mean DR. DOUGLAS TUCKER (M.D.) is currently active?
Yes — DR. DOUGLAS TUCKER (M.D.) appears active in the national provider directory.
Can you summarize DR. DOUGLAS TUCKER (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. DOUGLAS TUCKER (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. DOUGLAS TUCKER (M.D.) practice in Mississippi?
You will see Jackson, Mississippi on file for DR. DOUGLAS TUCKER (M.D.) alongside any extra practice locations.
Is DR. DOUGLAS TUCKER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1043574445. Always confirm identity and privileges with the practice and licensing boards.

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