Gladstone A Tucker, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036111926 Issued in IL

Practice address

1606 Castleberry Dr
Marion, IL 62959-1586

Phone

(618) 997-9519

Fax

(618) 993-0592

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Red Bud Regional Hospital Hospital, Red Bud, IL, CCN 141348
• Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
• Red Bud Regional Hospital Nursing home, CCN 14Z348

Merit-based Incentive Payment System (MIPS)

Final score

77.51 of 100Reported as group

Quality

49.04

Promoting interoperability

95

Improvement activities

40

Cost

69.42

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gtucke11@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deaconess Illinois Specialty Clinic, Inc.

  • Surgery Physician
  • Marion, IL
  • NPI 1972210235
  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Illinois, LLC

  • Internal Medicine Physician
  • Quincy, IL
  • NPI 1487897849

  Hospitalist

  Medicare reassignment NPD
• Integritas Emergency Physician Services, LLC

  • Emergency Medicine Physician
  • Carbondale, IL
  • NPI 1790128817
  Medicare reassignment NPD
• Sound Physicians of Illinois, LLC

  • Hospitalist Physician
  • Bridgeton, MO
  • NPI 1043598865

  IL

  Medicare reassignment NPD
• Deaconess Illinois Specialty Clinic, Inc.

  • Hospitalist Physician
  • Anna, IL
  • NPI 1225858251
  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  • Orthopaedic Surgery Physician
  • Benton, IL
  • NPI 1629785183
  NPD
• Eye Microsurgery, LTD.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1730207994
  NPD (past)
• Midwest Hospital Specialists, P.a.

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1013901404
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Illinois Red Bud Regional Hospital Inc

  • Critical Access Hospital
  • Red Bud, IL
  • NPI 1407573132
  Care Compare affiliation
• Deaconess Regional Healthcare Services Illinois Inc

  • General Acute Care Hospital
  • Marion, IL
  • NPI 1750007266
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1023087012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "CONCORDIA",
            "state": "MO",
            "postal_code": "640200752",
            "telephone_number": "660-463-1365",
            "fax_number": "660-463-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 CASTLEBERRY DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591586",
            "telephone_number": "618-997-9519",
            "fax_number": "618-993-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "GLADSTONE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036111926",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036111926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY",
            "identifier": "252364",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111926",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07332006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "229260",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RAILROAD",
            "identifier": "P00239844",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "699628",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9367182",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Scott Tripp, MSW
• Angela Trowbridge
• Danneille C Trujillo-Hansen, APRNBC
• TT Medco
• Bryan Tucker
• Stephanie Nichole Tucker, COTA
• Roberta Josephine Tunget, CCC-SLP
• Tamika S Turner
• Todd Twitty, PHARM D
• Keith Tyhurst, O.D.

• Geriatric Medicine (Internal Medicine) Physician in Marion, IL
• Providers in Marion, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.