SAMUEL TUCKER (MD) – Pediatrics Physician, NPI 1790904035

SAMUEL TUCKER (MD) is a healthcare provider. based in Searcy, Arkansas. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. E5357 (AR). The NPI Number for SAMUEL TUCKER (MD) is 1790904035

Main info

Male
Name
SAMUEL TUCKER (MD)
NPI
1790904035
Phone
(501) 278-2800
Address
2900 HAWKINS DR
Enumeration Date
25 April 2007
Last Update Date
16 June 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SAMUEL TUCKER (MD)

  • 2900 HAWKINS DR

    SEARCY, AR 721434802

    Phone: (501) 278-2800

    Fax: (501) 268-3946

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2007-10-25

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
I20071025000094IPediatric MedicineARTBD

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 72143)

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Reviews

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Frequently asked questions

What number should I use to identify SAMUEL TUCKER (MD) for billing?
Administrative and clinical systems typically use NPI 1790904035 for SAMUEL TUCKER (MD).
Does the public listing show SAMUEL TUCKER (MD) as active?
SAMUEL TUCKER (MD)'s NPI record reflects an active status in NPPES.
What does the directory say SAMUEL TUCKER (MD) does?
Insurance directories may phrase it differently, but here SAMUEL TUCKER (MD) maps to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SAMUEL TUCKER (MD) in Searcy, Arkansas?
For routing, start with Searcy, Arkansas for SAMUEL TUCKER (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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