Theodore Tucker, MD
NPI 1831187269 · Family Medicine Physician · Athens, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Tucker, MD is a Family Medicine Physician provider in Athens, TN (NPI 1831187269).
Provider details
- NPI number
- 1831187269
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 56612 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,067 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 376 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 348 | $118 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 136 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 120 | $86 |
| Automated Urinalysis Test81003 | 22 | $2 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 169 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Varicella-Zoster Ge/As01b/Pfbrand: Shingrix | 581 | 405 |
| Atorvastatin Calcium | 577 | 152 |
| Gabapentin | 446 | 63 |
| Levothyroxine Sodium | 430 | 104 |
| Omeprazole | 418 | 114 |
| Rsvpref3 Antigen/As01e/Pfbrand: Arexvy | 415 | 414 |
| Amlodipine Besylate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$40 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Theodore Tucker's NPI number?
- Theodore Tucker's National Provider Identifier (NPI) is 1831187269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Tucker's specialty?
- Theodore Tucker is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Tucker located?
- Theodore Tucker's practice location on file with NPPES is 800 S White St Ste 4, Athens, TN 37303-4613.
- What is Theodore Tucker's phone number?
- The practice phone number listed in the NPPES registry for Theodore Tucker is (423) 453-5085.
- Does Theodore Tucker accept Medicare?
- Theodore Tucker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Tucker's NPI active?
- Yes — Theodore Tucker's NPI (1831187269) is active in the NPPES registry as of the last update on 2026-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.