Individual provider Active NPI

William Fulton Tucker Jr., M.D.

  • Orthopaedic Surgery Physician
  • Addison, TX
National Provider Identifier
1124175286
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H8474 Issued in TX
Practice address
17051 Dallas Pkwy Ste 420
Addison, TX 75001-7115
Phone
(214) 265-5050
Fax
(214) 265-0505
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H8474 TX Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 420
Addison, TX 75001-7115

Mailing address

PO Box 12726
Dallas, TX 75225-0726
Phone (214) 265-5050

Other identifiers 4

IdentifierTypeStateIssuer
200024781OtherRAILROAD MEDICARE ID
00U59YOtherTXBCBS IDENTIFIER
116145703MedicaidTX
5812005OtherAETNA ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20101020000218 TX Practitioner - Orthopedic Surgery 8224221478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Joint Institute, PLLCGroup PAC ID 8325206584, 40 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

12228 N Central Expy
Suite 410
Dallas, TX 75243-3797
Phone (972) 566-5255

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (469) 248-3900

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

5500 Frisco Square Blvd
Frisco, TX 75034-3305
Phone (214) 618-0500

Hospital & facility affiliations

  • The Home Health Team Home health agency, Richardson, TX, CCN 747573
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement59
Knee replacement148
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
William F Tucker Jr MD PA Orthopaedic Surgery CurrentSince Nov 15, 2010 Accepting new patients
Texas Joint Institute, PLLC Orthopaedic Surgery CurrentSince Mar 18, 2024 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 420
Addison, TX 75001
Phone (214) 265-5050

8210 Walnut Hill Ln
Ste 404
Dallas, TX 75231
Phone (214) 265-5050

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Ste C135
Dallas, TX 75230
Phone (972) 566-5051

12228 N Central Expy
Ste 410
Dallas, TX 75243
Phone (214) 265-5050

8440 Walnut Hill Ln
Ste 250
Dallas, TX 75231
Phone (214) 265-5050

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1124175286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12726",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752250726",
            "telephone_number": "214-265-5050",
            "fax_number": "214-265-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 420",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017115",
            "telephone_number": "214-265-5050",
            "fax_number": "214-265-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "WILLIAM",
        "middle_name": "FULTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H8474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "200024781",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IDENTIFIER",
            "identifier": "00U59Y",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116145703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "5812005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.