Tucker Jeppson, DO
NPI 1104455922 · Diagnostic Radiology Physician · Moscow, ID
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104455922
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 9861270 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 701 Lewiston StCottonwood, ID 83522-9750Phone: (208) 962-3251
- 301 Cedar StOrofino, ID 83544-9029Phone: (208) 882-8369
- 20201 Crawford AveOlympia Fields, IL 60461-1010Phone: (708) 747-4000
- 1200 W Fairview StColfax, WA 99111-9552Phone: (208) 882-8369
Registry dates
- Enumerated
- 2020-04-03
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.