ROBERT TYLER UNDERWOOD (O.D.) – Optometrist, NPI 1295389112

ROBERT TYLER UNDERWOOD (O.D.) is a healthcare provider. based in Cortez, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0003516 (CO). The NPI Number for ROBERT TYLER UNDERWOOD (O.D.) is 1295389112

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT TYLER UNDERWOOD (O.D.)
NPI
1295389112
Phone
(970) 565-7195
Address
PO BOX 959
Enumeration Date
29 July 2019
Last Update Date
14 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9705657195
Graduation Year
2019 (7 years ago)
PAC ID
1052743812
Group Practice PAC ID
7911378385
Professional Enrollment ID
I20191115001533
Address ID
CO813213744CO22XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for ROBERT TYLER UNDERWOOD (O.D.)

  • PO BOX 959

    CORTEZ, CO 813210959

    Phone: (970) 565-7195

    Type: Mailing

  • 22, South Beech Street, Cortez, Montezuma County, Colorado, 81321-3299, United States

    CORTEZ, CO 813213744

    Phone: (970) 565-7195

    Type: Location

  • 22 S BEECH ST

    CORTEZ, CO 813213744

    Phone: (970) 565-7195

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($127).

Total Amount

$170

General + Research + Ownership

Payments

4

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2019-11-15

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
I20191115001533IOptometryCOTBD

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
92250Photography of the retina346326$0
92014Established patient complete exam of visual system223222$0
99213Established patient office or other outpatient visit, 20-29 minutes127105$0
92004New patient complete exam of visual system117117$0
99214Established patient office or other outpatient visit, 30-39 minutes9669$0
View full utilization report →

Insurance plans in this area (ZIP 81321)

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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: 7911378385View full group profile
NameSpecialtyState
O P T O M E T R YCO

Reviews

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Frequently asked questions

What NPI should I save for ROBERT TYLER UNDERWOOD (O.D.)?
Save NPI 1295389112 if you need a stable reference for ROBERT TYLER UNDERWOOD (O.D.).
Is ROBERT TYLER UNDERWOOD (O.D.) active in the national directory?
ROBERT TYLER UNDERWOOD (O.D.)'s public NPI profile is in an active state.
What kind of provider is ROBERT TYLER UNDERWOOD (O.D.)?
The page reflects Optometrist for ROBERT TYLER UNDERWOOD (O.D.). Clinical services aligned with this taxonomy classification.
Where is ROBERT TYLER UNDERWOOD (O.D.)'s primary listing?
We display Cortez, Colorado because that is what the record indicates for ROBERT TYLER UNDERWOOD (O.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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