JODIE A. TUCKER (P.A.) – Physician Assistant, NPI 1972555712
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for JODIE A. TUCKER (P.A.)
1965 S Fremont Ave
Suite 100
Springfield, MO 658042201
Phone: (417) 820-3800
Fax: (417) 820-3810
Type: Location
3231 S NATIONAL AVE STE 200
SPRINGFIELD, MO 658077304
Phone: (417) 885-0823
Type: Mailing
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
SPRINGFIELD, MO 658012580
Phone: (417) 820-4620
Fax: (417) 820-4316
Type: Mailing
1965, South Fremont Avenue, Meador Park, Springfield, Greene County, Missouri, 65804, United States
SUITE 100
SPRINGFIELD, MO 658042201
Phone: (417) 820-3800
Fax: (417) 820-3810
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 235 Open Payments records for all available years, with a total value of $4,224.
Total Amount is formed as General ($4,224) + Research ($0) + Ownership ($0) = $4,224.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,321).
Total Amount
$4,224
General + Research + Ownership
Payments
235
Total payment records
General Amount
$4,224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,321 |
| CSL Behring | $796 |
| GENZYME CORPORATION | $299 |
| Optinose US, Inc. | $163 |
| Pharming Healthcare, Inc. | $157 |
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: 2005-06-29
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 |
|---|---|---|---|---|
| I20050629000328 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 3,755 | 81 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 1,304 | 75 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 89 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 61 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 61 | 48 | $0 |
Insurance plans in this area (ZIP 65804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | MO | |
| Physician Assistant | MO | |
| - | MO |
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