TYLAN WAYNE MAGNUSSON (MD) – Internal Medicine Physician, NPI 1437619517
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 HEMATOLOGY/ONCOLOGY in AL
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Provider Addresses for TYLAN WAYNE MAGNUSSON (MD)
625, 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States
BIRMINGHAM, AL 352491900
Phone: (205) 934-2490
Type: Location
NP 2540
1720 2ND AVENUE SOUTH
BIRMINGHAM, AL 352943300
Phone: (205) 933-8101
Fax: (205) 934-9573
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $645.
Total Amount is formed as General ($645) + Research ($0) + Ownership ($0) = $645.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Seagen Inc. ($200).
Total Amount
$645
General + Research + Ownership
Payments
8
Total payment records
General Amount
$645
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Seagen Inc. | $200 |
| Blueprint Medicines Corporation | $125 |
| ABBVIE INC. | $100 |
| PFIZER INC. | $98 |
| Incyte Corporation | $90 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250702002355 | I | Hematology/Oncology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35249)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Emergency Medicine | ID | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | ID | |
| - | TX | |
| Internal Medicine | ID | |
| Radiation Oncology | UT | |
| Hematology/Oncology, Internal Medicine, Medical Oncology, Hematology/Oncology | UT |
Reviews
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