NPIMap

Individual provider Active NPI

Matthew Alva Tucker, D.O.

  • Pulmonary Disease Physician
  • Evansville, IN
National Provider Identifier
1629207253
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
02004639A Issued in IN
Practice address
519 Harriet St
Evansville, IN 47710-1715
Phone
(812) 450-7720
Fax
(812) 450-7730
NPI assigned
Jul 2, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc. 410 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Henderson, KY 42420-2768
Phone (270) 561-0202

519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319
  • Methodist Hospital Union County Hospital, Morganfield, KY, CCN 181306
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150804003186 IN Practitioner - Pulmonary Disease 1052561628 Reassigns benefits to 1 organization
I20240712003488 KY Practitioner - Pulmonary Disease 1052561628 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital Inc Pulmonary Disease CurrentSince Jul 30, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 1, 2015 Accepting new patients
Methodist Health, Inc. CurrentSince Apr 19, 2024 Accepting new patients
Deaconess Hospital, Inc CurrentSince Aug 1, 2015 Accepting new patients
Methodist Health, Inc. Pulmonary Disease CurrentSince Apr 19, 2024 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients

Locations

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

4015 Gateway Blvd
Ste 2121
Newburgh, IN 47630
Phone (812) 450-7720

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1413 N Elm St
Ste 106
Henderson, KY 42420
Phone (270) 827-0064

1413 N Elm St
Henderson, KY 42420
Phone (270) 561-0202

Interoperability endpoints

  • Direct secure messaging: mtucker311523@direct.hfhs.org
  • Direct secure messaging: mtucker79803@direct.deaconess.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 02004639A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

519 Harriet St
Evansville, IN 47710-1715

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-7720

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2015.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1629207253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 HARRIET ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101715",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MATTHEW",
        "middle_name": "ALVA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "02004639A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.