Byron Shane Tucker, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

10748 Issued in MS

Practice address

452 W Bankhead St
New Albany, MS 38652-3319

Phone

(662) 534-3724

Fax

(662) 534-7266

NPI assigned

Jul 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Otolaryngology

Education

University of Mississippi School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
• Ochsner Laird Hospital Hospital, Union, MS, CCN 251322
• Ochsner Watkins Hospital Hospital, Quitman, MS, CCN 251316

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medical Foundation, Inc.

  • Family Medicine Physician
  • Meridian, MS
  • NPI 1609820539
  Medicare reassignment Care Compare group NPD
• Medical Foundation, Inc.

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1700917994
  NPD
• Premier Radiology, Inc

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1083669121
  NPD (past)

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

• Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation
• Laird Hospital, Inc.

  • Critical Access Hospital
  • Union, MS
  • NPI 1518924752
  Care Compare affiliation
• Rush Medical Foundation

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399
  Care Compare affiliation
• Rush Medical Foundation

  • Critical Access Hospital
  • Quitman, MS
  • NPI 1912079625
  Care Compare affiliation

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1235155979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-534-3724",
            "fax_number": "662-534-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BYRON",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "10748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010261",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Steele Thompson, M.S., CCC-SLP
• Martha Paige Tomsic, DO
• Kathryn Grace Topper
• Tri County Drugs, Inc
• Trina Health of New Albany, Inc
• Meghan Turner, DMD
• Union County Health & Rehabilitation Center, Inc.
• Union LTC, Inc
• V & B Enterprises LLC.
• Gena Anne Vail, CFNP

• Otolaryngology Physician in New Albany, MS
• Providers in New Albany, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.