STEPHEN B TUCKER (M.D.) – Dermatology Physician, NPI 1245279892

STEPHEN B TUCKER (M.D.) is a healthcare provider. based in Conroe, Texas. specializing in DERMATOLOGY, PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. F6143 (TX). The NPI Number for STEPHEN B TUCKER (M.D.) is 1245279892

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN B TUCKER (M.D.)
NPI
1245279892
Phone
(936) 539-4004
Address
605 S Conroe Medical Dr
Enumeration Date
6 June 2006
Last Update Date
22 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
9365394004
Graduation Year
1973 (53 years ago)
PAC ID
0446295265
Group Practice PAC ID
7416841994
Professional Enrollment ID
I20050727000903
Address ID
TX773044722CO605XXDRXX500

Contacts

Main Contact
stmd.ema.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,284 DERMATOLOGY in TX

Provider Addresses for STEPHEN B TUCKER (M.D.)

  • 605 S Conroe Medical Dr

    Conroe, TX 773044722

    Phone: (936) 539-4004

    Fax: (936) 521-3964

    Type: Location

  • 1055, Evergreen Circle, Town Center, The Woodlands, Montgomery County, Texas, 77380, United States

    THE WOODLANDS, TX 773803602

    Phone: (281) 367-9110

    Fax: (832) 813-0344

    Type: Mailing

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: 2005-07-27

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
I20050727000903IDermatologyTXTBD

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 77304)

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Provider's Procedures

STEPHEN B TUCKER (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue1515

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: 7416841994View full group profile
NameSpecialtyState
Family PracticeTX
Mental Health CounselorTX
-TX
Physician AssistantTX
Mental Health CounselorTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YMI
Registered Dietitian Or Nutrition ProfessionalTX
Family PracticeTX
Family PracticeTX

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Frequently asked questions

Can I cross-check STEPHEN B TUCKER (M.D.) using NPI 1245279892?
NPI 1245279892 belongs to STEPHEN B TUCKER (M.D.); compare other details if you need extra assurance.
Is STEPHEN B TUCKER (M.D.) shown as active in public data?
Registry records indicate STEPHEN B TUCKER (M.D.) maintains an active NPI.
What clinical focus is listed for STEPHEN B TUCKER (M.D.)?
At a glance, STEPHEN B TUCKER (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is STEPHEN B TUCKER (M.D.) registered?
Use Conroe, Texas as the headline location for STEPHEN B TUCKER (M.D.) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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