Active NPI
J. Tyler Tucker, DO
- Orthopaedic Surgery Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5714
- Practice address
- 2205 McCallie Ave Ste 102
Chattanooga, TN 37404-3323 - Phone
- (423) 493-5220
- NPI assigned
- Jun 13, 2011
- Last updated
- Jul 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5714 | TN | Primary |
Addresses
Primary practice location
2205 McCallie Ave Ste 102
Chattanooga, TN 37404-3323
Mailing address
2205 McCallie Ave Ste 102
Chattanooga, TN 37404-3323
Phone (423) 493-5220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2205 McCallie Ave
Suite 102
Chattanooga, TN 37404-3323
Phone (423) 493-5220
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5714 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Surgeons, P.a. | Orthopaedic Surgery | Current | Accepting new patients |
| Chattanooga Diagnostic Associates LLC | Current | Accepting new patients | |
| Orthopedic Surgeons, P.a. | Orthopaedic Surgery | Current | Accepting new patients |
| The Orthopaedic Center | Orthopaedic Surgery | Past | Accepting new patients |
| HH Health System - the Orthopaedic Center, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
8250 N Church Rd
Kansas City, MO 64158
Phone (816) 459-7500
2790 Clay Edwards Dr
Ste 650
North Kansas City, MO 64116
Phone (816) 459-7500
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2205 McCallie Ave
Ste 102
Chattanooga, TN 37404
Phone (423) 493-5220
2205 McCallie Ave
Ste 200
Chattanooga, TN 37404
Phone (423) 493-5220
1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
- tyler.tucker@hca1.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Diagnostic Center
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1679772099
-
- Orthopaedic Surgery Physician
- North Kansas City, MO
- NPI 1841264835
-
- Orthopaedic Surgery Physician
- Overland Park, KS
- NPI 1578370565
-
dba The Orthopaedic Center
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health
- Home Health Agency
- Chattanooga, TN
- NPI 1326096009
-
dba Parkridge Medical Center
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1285929703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 MCCALLIE AVE STE 102",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043323",
"telephone_number": "423-493-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 MCCALLIE AVE STE 102",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043323",
"telephone_number": "423-493-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "J. TYLER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "5714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.