DR. CHRISTOPHER JOHN TUCKER (DO) – Physical Medicine & Rehabilitation Physician, NPI 1104822659

DR. CHRISTOPHER JOHN TUCKER (DO) is a healthcare provider. based in Grapevine, Texas. specializing in PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. J2823 (TX). The NPI Number for DR. CHRISTOPHER JOHN TUCKER (DO) is 1104822659

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER JOHN TUCKER (DO)
NPI
1104822659
Phone
(817) 481-2121
Address
2535 IRA E WOODS AVENUE
Enumeration Date
21 June 2005
Last Update Date
27 April 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8173755200
Graduation Year
1988 (38 years ago)
PAC ID
3274612080
Group Practice PAC ID
9739161704
Professional Enrollment ID
I20080506000599
Address ID
TX760151629AR800XXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

755 PAIN MANAGEMENT in TX

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Provider Addresses for DR. CHRISTOPHER JOHN TUCKER (DO)

  • 2535, Ira E Woods Avenue, Grapevine, Tarrant County, Texas, 76051, United States

    GRAPEVINE, TX 760513930

    Phone: (817) 481-2121

    Fax: (817) 488-4493

    Type: Mailing

  • 4501 Heritage Trace Parkway, Suite 101

    Fort Worth, TX 762448940

    Phone: (817) 481-2121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $2,777.

Total Amount is formed as General ($2,777) + Research ($0) + Ownership ($0) = $2,777.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Medtronic, Inc. ($1,537).

Total Amount

$2,777

General + Research + Ownership

Payments

27

Total payment records

General Amount

$2,777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

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: 2008-05-06

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
I20080506000599IPhysical Medicine And RehabilitationTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes201132$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level15588$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level14082$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level137124$0
99213Established patient office or other outpatient visit, 20-29 minutes12496$0
View full utilization report →

Insurance plans in this area (ZIP 76051)

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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: 9739161704View full group profile
NameSpecialtyState
-TX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
Physical Medicine And RehabilitationTX
Physical Medicine And RehabilitationTX
Physical Medicine And RehabilitationTX
-TX
Interventional Pain Management, Anesthesiology, Osteopathic Manipulative Medicine, Pain ManagementME

Reviews

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Frequently asked questions

Can I cross-check DR. CHRISTOPHER JOHN TUCKER (DO) using NPI 1104822659?
NPI 1104822659 belongs to DR. CHRISTOPHER JOHN TUCKER (DO); compare other details if you need extra assurance.
Would DR. CHRISTOPHER JOHN TUCKER (DO) appear as active to a payer?
You can treat DR. CHRISTOPHER JOHN TUCKER (DO) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. CHRISTOPHER JOHN TUCKER (DO)?
DR. CHRISTOPHER JOHN TUCKER (DO)'s specialty line reads Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CHRISTOPHER JOHN TUCKER (DO)?
Travel planning: use Grapevine, Texas as the reference point for DR. CHRISTOPHER JOHN TUCKER (DO), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.