NPI Details
Kelly D Pucek, MD is an orthopaedic surgery in Jackson, TN with 33 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Kelly D Pucek, MD NPI is 1710086335. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1992
The provider's business location address is:
24 PHYSICIANS DR
JACKSON, TN
ZIP 38305-070
Phone: (731) 661-9825
Fax: (731) 668-6757
The NPI 1710086335 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg (HCPCS:J3304)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of knee, 1-2 views (HCPCS:73560)
- X-ray of knee, 3 views (HCPCS:73562)
- Mri scan of leg joint without contrast (HCPCS:73721)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Mri scan of arm joint without contrast (HCPCS:73221)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- X-ray of lower leg, 2 views (HCPCS:73590)
- X-ray of hip, 1 view (HCPCS:73501)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of ankle, minimum of 3 views (HCPCS:73610)
- Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
- Aspiration and/or injection of fluid from small joint (HCPCS:20600)
- Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- X-ray of both hips, 3-4 views (HCPCS:73522)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- X-ray of wrist, minimum of 3 views (HCPCS:73110)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- X-ray of foot, minimum of 3 views (HCPCS:73630)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Hyaluronan or derivative, monovisc, for intra-articular injection, per dose (HCPCS:J7327)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Partial removal of collar bone (HCPCS:23120)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
The enumeration date for this NPI number is 9/21/2006 and was last updated on 11/2/2015.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | MD30606 | TENNESSEE | No |
2 | 207X00000X | Orthopaedic Surgery | | MD30606 | TENNESSEE | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1 | 0369490001 | MEDICARE NSC | TENNESSEE | |
2 | 3826433 | MEDICARE PIN | TENNESSEE | |
3 | G75877 | MEDICARE UPIN | TENNESSEE | |
4 | Q010037 | MEDICAID | TENNESSEE | |