NPIMap

Individual provider Active NPI

Summer Raye Tucker, D.O.

  • Family Medicine Physician
  • Campbellsville, KY
National Provider Identifier
1659505113
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03404 Issued in KY
Practice address
410 Hotchkiss St
Campbellsville, KY 42718-1340
Phone
(270) 465-0191
Fax
(270) 465-0463
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02005817A IN
Family Medicine Physician 207Q00000X 03404 KY Primary

Addresses

Primary practice location

410 Hotchkiss St
Campbellsville, KY 42718-1340

Mailing address

410 Hotchkiss St
Campbellsville, KY 42718-1340
Phone (270) 465-0191

Other practice location 1

6200 Dutchmans Ln
Louisville, KY 40205-3271
Phone (502) 456-6200

Other practice location 2

502 Hausfeldt Ln
New Albany, IN 47150-2221
Phone (502) 456-6200

Other identifiers 2

IdentifierTypeStateIssuer
2008016205OtherMOSTATE OF MISSOURI LISCENSE
KY03404OtherKYKY BOARD OF MEDICINE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stucker1@hosparus.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110930000310 KY Practitioner - Family Practice 3779617295 Reassigns benefits to 3 organizations
I20230216000147 IN Practitioner - Family Practice 3779617295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Hotchkiss St
Campbellsville, KY 42718-1340
Phone (270) 465-0191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02005817AINMDFamily Medicine Physician
03404KYMDFamily Medicine Physician
TP846KYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group, LLC CurrentSince Apr 3, 2017 Accepting new patients
Taylor Regional Medical Group LLC Family Medicine CurrentSince Apr 3, 2017 Accepting new patients
Care Guide Partners Inc Family Medicine CurrentSince Apr 23, 2018 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Care Guide Partners Inc CurrentSince Apr 23, 2018 Accepting new patients
Tucker Family Medicine PSC Family Medicine CurrentSince Jun 2, 2014 Accepting new patients

Locations

502 Hausfeldt Ln
New Albany, IN 47150
Phone (502) 456-6200

125 Kingswood Dr
Campbellsville, KY 42718
Phone (270) 789-1112

105 Greenbriar Dr
Campbellsville, KY 42718
Phone (270) 283-4253

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

410 Hotchkiss St
Campbellsvlle, KY 42718
Phone (270) 465-0191

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

6200 Dutchmans Ln
Ste 200
Louisville, KY 40205
Phone (502) 456-6200

6200 Dutchmans Ln
Louisville, KY 40205
Phone (502) 456-6200

Organizations & group practices 6

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 9

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1659505113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 HOTCHKISS ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181340",
            "telephone_number": "270-465-0191",
            "fax_number": "270-465-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HOTCHKISS ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181340",
            "telephone_number": "270-465-0191",
            "fax_number": "270-465-0463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Dutchmans Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053271",
            "country_code": "US",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Hausfeldt Ln",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502221",
            "country_code": "US",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SUMMER",
        "middle_name": "RAYE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005817A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI LISCENSE",
            "identifier": "2008016205",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BOARD OF MEDICINE",
            "identifier": "KY03404",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stucker1@hosparus.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.