TYLER ALAN CARSON (DO) – Neurological Surgery Physician, NPI 1508123167

TYLER ALAN CARSON (DO) is a healthcare provider. based in Colton, California. specializing in NEUROSURGERY. They hold the professional credentials DO. They hold a License No. 20A12979 (CA). The NPI Number for TYLER ALAN CARSON (DO) is 1508123167

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TYLER ALAN CARSON (DO)
NPI
1508123167
Phone
(909) 580-1366
Address
400 N PEPPER AVE
Enumeration Date
19 April 2012
Last Update Date
4 February 2019

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
6614802377207
Graduation Year
2012 (14 years ago)
PAC ID
8729335179
Group Practice PAC ID
4880909308
Professional Enrollment ID
I20190708001809
Address ID
CA935511432PA1120XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

795 NEUROSURGERY in CA

Provider Addresses for TYLER ALAN CARSON (DO)

  • 400 N PEPPER AVE

    GENERAL SURGERY MOB STE#308

    COLTON, CA 923241801

    Phone: (909) 580-1366

    Fax: (909) 580-1363

    Type: Mailing

  • 1120 W AVENUE M4

    PALMDALE, CA 935511432

    Phone: (661) 480-2377

    Fax: (661) 480-2378

    Type: Location

  • 400 N Pepper Ave

    General Surgery MOB Ste#308

    Colton, CA 923241801

    Phone: (909) 580-1366

    Fax: (909) 580-1363

    Type: Location

  • 6325 Humphreys Blvd

    Memphis, TN 381202300

    Phone: (310) 497-4635

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $45,334.

Total Amount is formed as General ($45,334) + Research ($0) + Ownership ($0) = $45,334.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Nexxt Spine LLC ($20,849).

Total Amount

$45,334

General + Research + Ownership

Payments

42

Total payment records

General Amount

$45,334

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

1

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190708001809INeurosurgeryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4836$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880909308View full group profile
NameSpecialtyState
Nurse PractitionerNY
Nurse PractitionerCA
Nurse PractitionerMI
Interventional Pain Management, Physical Medicine And RehabilitationIL
Nurse PractitionerCA
Undefined Physician Type (Specify), Physical Medicine And RehabilitationCA
N E U R O L O G YCA
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Is TYLER ALAN CARSON (DO) listed with a National Provider Identifier?
Yes — TYLER ALAN CARSON (DO) has NPI 1508123167 on file in the registry.
Is TYLER ALAN CARSON (DO) still an active registrant?
TYLER ALAN CARSON (DO) carries an active NPI according to the public dataset.
What kind of doctor is TYLER ALAN CARSON (DO)?
TYLER ALAN CARSON (DO) is associated with Neurological Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in California is TYLER ALAN CARSON (DO) registered?
Use Colton, California as the headline location for TYLER ALAN CARSON (DO) here.
Does TYLER ALAN CARSON (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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