TYLER EUGENE CALLESE (MD) – Vascular & Interventional Radiology Physician, NPI 1073017836
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for TYLER EUGENE CALLESE (MD)
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
757 WESTWOOD PLAZA INTERVENTIONAL RADIOLOGY
LOS ANGELES, CA 900957419
Phone: (310) 825-8307
Type: Mailing
335 North LaBrea Avenue
Los Angeles, CA 90036
Phone: (323) 634-3850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $4,086.
Total Amount is formed as General ($4,086) + Research ($0) + Ownership ($0) = $4,086.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Penumbra, Inc. ($2,466).
Total Amount
$4,086
General + Research + Ownership
Payments
24
Total payment records
General Amount
$4,086
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $2,466 |
| Boston Scientific Corporation | $726 |
| Medtronic, Inc. | $412 |
| Cook Medical LLC | $183 |
| Inari Medical, Inc. | $161 |
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: 2024-07-16
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 |
|---|---|---|---|---|
| I20240716003098 | I | Diagnostic Radiology | NC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 58 | 57 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 14 | 14 | $0 |
Insurance plans in this area (ZIP 90045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | SC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | IL | |
| Physician Assistant | NC | |
| Physician Assistant | NC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | WV | |
| Diagnostic Radiology | NC |
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