KELLY MCDANIEL TUCKER (MD) – Obstetrics & Gynecology Physician, NPI 1023543063
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,818 OBSTETRICS/GYNECOLOGY in OH
Provider Addresses for KELLY MCDANIEL TUCKER (MD)
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-3069
Fax: (614) 814-7112
Type: Mailing
6700 UNIVERSITY BLVD STE 3B
DUBLIN, OH 430163508
Phone: (614) 293-3069
Fax: (614) 814-7112
Type: Location
1000 McKinley Pkwy
Marion, OH 43302
Phone: (740) 383-7991
Fax: (740) 375-6169
Type: Location
395, West Twelfth Avenue, University District District 4, Columbus, Sharon, Franklin, Ohio, 43210, United States
5TH FLOOR
COLUMBUS, OH 432101267
Phone:
Type: Mailing
Wexner Medical Center at The Ohio State University, 410, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States
COLUMBUS, OH 432101240
Phone: (614) 293-8045
Type: Location
PO BOX 7527
DUBLIN, OH 430170727
Phone:
Type: Mailing
1000 MCKINLEY PKWY
MARION, OH 43302
Phone: (740) 383-7991
Fax: (740) 375-6169
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 $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($23).
Total Amount
$26
General + Research + Ownership
Payments
2
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $23 |
| Intuitive Surgical, Inc. | $2 |
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: 2021-07-16
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 |
|---|---|---|---|---|
| I20210716000940 | I | Obstetrics/Gynecology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Gynecological Oncology, Obstetrics/Gynecology | OH | |
| Gynecological Oncology | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH |
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