DR. HAZEN HENRY JR. TUCK (M.D.) – Pulmonary Disease Physician, NPI 1124225487

DR. HAZEN HENRY JR. TUCK (M.D.) is a healthcare provider. based in Janesville, Wisconsin. specializing in PULMONARY DISEASE, SLEEP MEDICINE. They hold the professional credentials M.D.. They hold a License No. 54652-20 (WI). The NPI Number for DR. HAZEN HENRY JR. TUCK (M.D.) is 1124225487

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAZEN HENRY JR. TUCK (M.D.)
NPI
1124225487
Phone
(608) 752-6255
Address
903 MINERAL POINT AVE
Enumeration Date
29 June 2007
Last Update Date
16 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2622450535
Graduation Year
2006 (20 years ago)
PAC ID
0446305387
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20131010000205
Address ID
WI531472655LAN2950RDXX319
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

348 PULMONARY DISEASE in WI

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Provider Addresses for DR. HAZEN HENRY JR. TUCK (M.D.)

  • 903, Mineral Point Avenue, Janesville, Rock County, Wisconsin, 53548, United States

    LUNG CLINIC

    JANESVILLE, WI 535482970

    Phone: (608) 752-6255

    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)

CMS reports 20 Open Payments records for all available years, with a total value of $5,475.

Total Amount is formed as General ($5,475) + Research ($0) + Ownership ($0) = $5,475.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,235).

Total Amount

$5,475

General + Research + Ownership

Payments

20

Total payment records

General Amount

$5,475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-10-10

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
I20131010000205IPulmonary DiseaseWITBD

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 minutes326236$0
99213Established patient office or other outpatient visit, 20-29 minutes259237$0
94729Test to examine how well the lungs exchange gases166156$0
94726Test to determine lung volumes using sensors128128$0
94060Test to measure expiratory airflow and volume changes before and after medication administration108107$0
View full utilization report →

Insurance plans in this area (ZIP 53548)

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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: 7416860440View full group profile

Reviews

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Frequently asked questions

How is DR. HAZEN HENRY JR. TUCK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. HAZEN HENRY JR. TUCK (M.D.) with NPI 1124225487.
Can I rely on DR. HAZEN HENRY JR. TUCK (M.D.) being an active provider?
As of the registry snapshot, DR. HAZEN HENRY JR. TUCK (M.D.) is marked active.
What is DR. HAZEN HENRY JR. TUCK (M.D.) best known for clinically?
Directory data describes DR. HAZEN HENRY JR. TUCK (M.D.) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. HAZEN HENRY JR. TUCK (M.D.) on a map?
Expect Janesville, Wisconsin as a primary anchor for DR. HAZEN HENRY JR. TUCK (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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