Individual provider Active NPI

Thomas Edwin Ducker, MD

  • Gastroenterology Physician
  • Kerrville, TX
National Provider Identifier
1295753887
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
H9895 Issued in TX
Practice address
1001 Water St
Ste D-200
Kerrville, TX 78028-3566
Phone
(830) 896-5005
Fax
(830) 896-4747
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X H9895 TX Primary

Addresses

Primary practice location

1001 Water St
Ste D-200
Kerrville, TX 78028-3566

Mailing address

1001 Water St
Ste D-200
Kerrville, TX 78028-3566
Phone (830) 895-5005

Other identifiers 1

IdentifierTypeStateIssuer
136809405MedicaidTX

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
I20120321000735 TX Practitioner - Gastroenterology 2668632043 Practice locations: Junction, TX; Kerrville, TX

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Water St
Suite D 200
Kerrville, TX 78028-3566
Phone (830) 896-5005

2101 Main St
Junction, TX 76849-3024
Phone (325) 446-2099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.76 of 100Reported as individual
Quality
83.46
Improvement activities
40
Cost
87.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy809
Upper gastrointestinal (GI) endoscopy for acid reflux351

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jon Sibert DC PA Past Accepting new patients
Medical Surgical Specialist of Kerrville, PA PastSince Mar 9, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.ducker.1@21164.direct.athenahealth.com

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 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1295753887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WATER ST",
            "address_2": "STE D-200",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283566",
            "telephone_number": "830-895-5005",
            "fax_number": "830-896-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST",
            "address_2": "STE D-200",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283566",
            "telephone_number": "830-896-5005",
            "fax_number": "830-896-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKER",
        "first_name": "THOMAS",
        "middle_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "H9895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136809405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.