MCKENZIE TUCKER (MD) – Emergency Medicine Physician, NPI 1073017042

MCKENZIE TUCKER (MD) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. S5993 (TX). The NPI Number for MCKENZIE TUCKER (MD) is 1073017042

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MCKENZIE TUCKER (MD)
NPI
1073017042
Phone
(254) 724-2111
Address
PO BOX 844658
Enumeration Date
22 March 2018
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9199348171
Graduation Year
2018 (8 years ago)
PAC ID
1759638067
Group Practice PAC ID
9931002078
Professional Enrollment ID
I20230103002959
Address ID
NC275774407SM509XXBLVD400

Contacts

Secure Messaging
mmills333054@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for MCKENZIE TUCKER (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 1901, Southwest H K Dodgen Loop, Temple, Bell County, Texas, 76504, United States

    TEMPLE, TX 765021814

    Phone: (254) 724-5437

    Type: Location

  • 210 TOWNE VILLAGE DR

    CARY, NC 275138910

    Phone: (919) 859-3373

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-03

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
I20230103002959IEmergency MedicineNCTBD

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
99285Emergency department visit with high level of medical decision making261253$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only204150$0
99284Emergency department visit with moderate level of medical decision making7977$0
99291Critical care, first 30-74 minutes5555$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 9931002078View full group profile
NameSpecialtyState
Physician AssistantMO
Physician AssistantNC
-NC
Emergency MedicineNC
Physician AssistantNC
-NC
Emergency MedicineNC
Emergency MedicineAR
Emergency MedicineTX
Physician AssistantNC

Reviews

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Frequently asked questions

Does MCKENZIE TUCKER (MD) have a public NPI I can cite?
Public records show MCKENZIE TUCKER (MD) under NPI 1073017042.
Does the public listing show MCKENZIE TUCKER (MD) as active?
MCKENZIE TUCKER (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits MCKENZIE TUCKER (MD)?
NPPES ties MCKENZIE TUCKER (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MCKENZIE TUCKER (MD) tied to Dallas, Texas?
If you are local to Dallas, Texas, MCKENZIE TUCKER (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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