J. TYLER TUCKER (DO) – Orthopaedic Surgery Physician, NPI 1285929703

J. TYLER TUCKER (DO) is a healthcare provider. based in Blue springs, Missouri. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 5714 (TN). The NPI Number for J. TYLER TUCKER (DO) is 1285929703

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
J. TYLER TUCKER (DO)
NPI
1285929703
Phone
(816) 655-5426
Address
201 NW R D MIZE RD
Enumeration Date
13 June 2011
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234935220
Graduation Year
2019 (7 years ago)
PAC ID
7618146259
Group Practice PAC ID
9739272519
Professional Enrollment ID
I20241030003135
Address ID
TN374043323CH2205XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

802 ORTHOPEDIC SURGERY in MO

Provider Addresses for J. TYLER TUCKER (DO)

  • 201 NW R D MIZE RD

    BLUE SPRINGS, MO 640142513

    Phone: (816) 655-5426

    Fax: (816) 655-5408

    Type: Mailing

  • 2205 MCCALLIE AVE STE 102

    CHATTANOOGA, TN 374043323

    Phone: (423) 493-5220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $2,699.

Total Amount is formed as General ($2,699) + Research ($0) + Ownership ($0) = $2,699.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Stryker Corporation ($2,067).

Total Amount

$2,699

General + Research + Ownership

Payments

40

Total payment records

General Amount

$2,699

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

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: 2024-10-30

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
I20220310000584IGeneral PracticeMOTBD
I20241030003135IOrthopedic SurgeryTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64014)

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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: 9739272519View full group profile
NameSpecialtyState
Nurse PractitionerTN
-TN
Orthopedic SurgeryTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Orthopedic SurgeryTN
Physical Medicine And RehabilitationTN
P S Y C H I A T R YTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What number should I use to identify J. TYLER TUCKER (DO) for billing?
Administrative and clinical systems typically use NPI 1285929703 for J. TYLER TUCKER (DO).
Does the public listing show J. TYLER TUCKER (DO) as active?
J. TYLER TUCKER (DO)'s NPI record reflects an active status in NPPES.
What services align with J. TYLER TUCKER (DO)'s listing?
J. TYLER TUCKER (DO)'s public classification highlights Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to J. TYLER TUCKER (DO)?
J. TYLER TUCKER (DO) shows a connection to Blue Springs, Missouri in registry-derived data.
Who maintains J. TYLER TUCKER (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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