DR. WILLIAM FULTON JR. TUCKER (M.D.) – Orthopaedic Surgery Physician, NPI 1124175286
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
Provider Addresses for DR. WILLIAM FULTON JR. TUCKER (M.D.)
PO BOX 12726
DALLAS, TX 752250726
Phone: (214) 265-5050
Fax: (214) 265-0505
Type: Mailing
17051 DALLAS PKWY STE 420
ADDISON, TX 750017115
Phone: (214) 265-5050
Fax: (214) 265-0505
Type: Location
Walnut Hill Lane, Dallas, Dallas County, Texas, 75231, United States
SUITE 404
DALLAS, TX 752314405
Phone: (214) 265-5050
Fax: (214) 265-0505
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $53,412.
Total Amount is formed as General ($53,412) + Research ($0) + Ownership ($0) = $53,412.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: OMNIlife science, Inc ($53,365).
Total Amount
$53,412
General + Research + Ownership
Payments
19
Total payment records
General Amount
$53,412
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| OMNIlife science, Inc | $53,365 |
| Sumitomo Pharma America, Inc. | $25 |
| Bioventus LLC | $22 |
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: 2010-10-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101020000218 | I | Orthopedic Surgery | TX | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,872 | 34 | $0 |
| 73564 | X-ray of knee, 4 or more views | 1,209 | 552 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,114 | 221 | $0 |
| 73502 | X-ray of hip, 2-3 views | 368 | 228 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 328 | 277 | $0 |
Insurance plans in this area (ZIP 75225)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX |
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