TARVEZ TUCKER (MD) – Neurocritical Care Physician, NPI 1770537839

TARVEZ TUCKER (MD) is a healthcare provider. based in Portland, Oregon. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD158051 (OR). The NPI Number for TARVEZ TUCKER (MD) is 1770537839

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
TARVEZ TUCKER (MD)
NPI
1770537839
Phone
(503) 418-4980
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
20 May 2006
Last Update Date
14 January 2017

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
5034948311
Graduation Year
1980 (46 years ago)
PAC ID
9537067319
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20121204000300
Address ID
OR972393011PO3181XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

400 NEUROLOGY in OR

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Provider Addresses for TARVEZ TUCKER (MD)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393098

    Phone: (503) 418-4980

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-12-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121204000300INeurologyORTBD

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
99291Critical care, first 30-74 minutes11155$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5142$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th3315$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What federal number belongs to TARVEZ TUCKER (MD)?
The federal identifier for TARVEZ TUCKER (MD) is NPI 1770537839.
Is TARVEZ TUCKER (MD) active in the national directory?
TARVEZ TUCKER (MD)'s public NPI profile is in an active state.
Can you summarize TARVEZ TUCKER (MD)'s specialty in plain language?
Clinically, the directory lists TARVEZ TUCKER (MD) with Neurocritical Care Physician. Clinical services aligned with this taxonomy classification.
What location shows for TARVEZ TUCKER (MD)?
We surface Portland, Oregon for TARVEZ TUCKER (MD) based on available NPPES addresses.
How can I contact TARVEZ TUCKER (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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