P Praxis·MD
● Active Type 1 · Individual

Tucker Jeppson, DO

Radiology·Moscow, ID· NPI 1104455922 · Enumerated 2020 · 6 years on NPI
Jeppson is 1 of 5 radiology providers in Moscow and 1 of 248 in Idaho.
NPI age
6 years
Enumerated 2020-04-03
Primary specialty
Radiology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
6 years
↓ 13 yr below median (19 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
220 W 3rd St
Moscow, ID 838432203
📞 2088828369
Mailing address
Po Box 9583
Moscow, ID 838430177
📞 2088828369fax 2088821887

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
301 Cedar St
Orofino, ID 835449029
📞 2088828369
Location 3
1200 W Fairview St
Colfax, WA 991119552
📞 2088828369
Location 4
701 Lewiston St
Cottonwood, ID 835229750
📞 2089623251
Location 5
20201 Crawford Ave
Olympia Fields, IL 604611010
📞 7087474000

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    ID license #9861270 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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