DAVID M TUCKER (PH.D.) – Clinical Neuropsychologist, NPI 1033217591

DAVID M TUCKER (PH.D.) is a healthcare provider. based in Austin, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2 4175 (TX). The NPI Number for DAVID M TUCKER (PH.D.) is 1033217591

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M TUCKER (PH.D.)
NPI
1033217591
Phone
(512) 458-6121
Address
711 W 38TH ST
Enumeration Date
20 September 2006
Last Update Date
4 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5126375841
Graduation Year
1983 (43 years ago)
PAC ID
1658277785
Group Practice PAC ID
7618074766
Professional Enrollment ID
I20070524000184
Address ID
TX787051133AU711XXSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DAVID M TUCKER (PH.D.)

  • 711, West 38th Street, Central Austin, Austin, Travis County, Texas, 78705, United States

    BLDG. F

    AUSTIN, TX 787051121

    Phone: (512) 458-6121

    Fax: (512) 452-5567

    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: 2007-05-24

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
I20070524000184IClinical PsychologistTXTBD

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 78705)

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Provider's Procedures

DAVID M TUCKER (PH.D.) performs procedures in CLINICAL PSYCHOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALTX96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour580156

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: 7618074766View full group profile
NameSpecialtyState
Clinical PsychologistTX
Clinical PsychologistCA

Reviews

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Frequently asked questions

Is DAVID M TUCKER (PH.D.) listed with a National Provider Identifier?
Yes — DAVID M TUCKER (PH.D.) has NPI 1033217591 on file in the registry.
Is DAVID M TUCKER (PH.D.) still an active registrant?
DAVID M TUCKER (PH.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DAVID M TUCKER (PH.D.)?
At a glance, DAVID M TUCKER (PH.D.) is tied to Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DAVID M TUCKER (PH.D.)?
Directory geography for DAVID M TUCKER (PH.D.) centers on Austin, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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