DR. ALICIA KYLI TUCKER (MD) – Sports Medicine (Family Medicine) Physician, NPI 1689703563
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for DR. ALICIA KYLI TUCKER (MD)
912 Russell Dr
Lebanon, PA 17042
Phone: (717) 272-7971
Fax: (717) 272-1241
Type: Location
3100 WYMAN PARK DR
BALTIMORE, MD 212112803
Phone: (301) 896-3100
Type: Mailing
1132 ANNAPOLIS RD
ODENTON, MD 211131647
Phone: (301) 896-3100
Type: Location
601 MEMORY LN
YORK, PA 174022231
Phone: (717) 851-1405
Fax: (717) 851-6969
Type: Mailing
2003 SPRINGWOOD RD
YORK, PA 174034836
Phone: (717) 851-2521
Type: Location
1695 Roosevelt Ave Ste B
York, PA 174088521
Phone: (717) 812-4090
Type: Location
1132 Annapolis Rd
Odenton, MD 211131647
Phone: (301) 896-3100
Type: Location
2319 S George St
York, PA 174035009
Phone: (717) 812-4090
Type: Location
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: 2017-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110407000588 | I | Family Practice | MD | TBD |
| I20171019002153 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 17042)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MD | 85610 | Blood test, clotting time | 64 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| - | PA | |
| N E U R O L O G Y | SC | |
| Physician Assistant | PA | |
| Hospitalist, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Internal Medicine, Pulmonary Disease, Sleep Medicine | PA |
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