DR. TYSON PETER HAGEN (MD) – Rheumatology Physician, NPI 1568564631

DR. TYSON PETER HAGEN (MD) is a healthcare provider. based in Aurora, Colorado. specializing in RHEUMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 36826 (IA). The NPI Number for DR. TYSON PETER HAGEN (MD) is 1568564631

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYSON PETER HAGEN (MD)
NPI
1568564631
Phone
(303) 338-4545
Address
2500 S HAVANA ST
Enumeration Date
1 September 2006
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
3033384545
Graduation Year
2003 (23 years ago)
PAC ID
3072511252
Group Practice PAC ID
1254238454
Professional Enrollment ID
I20111021000511
Address ID
CO800263370LA280XXCIRC301

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

129 RHEUMATOLOGY in CO

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Provider Addresses for DR. TYSON PETER HAGEN (MD)

  • Kaiser Permanente, 2500, South Havana Street, Aurora, Arapahoe County, Colorado, 80014, United States

    AURORA, CO 800141618

    Phone: (303) 338-4545

    Type: Mailing

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • KP Drop Off, 280, Exempla Circle, Lafayette, Boulder County, Colorado, 80026-2872, United States

    LAFAYETTE, CO 800263370

    Phone: (303) 338-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-10-21

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
I20111021000511IRheumatologyCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80014)

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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: 1254238454View full group profile
NameSpecialtyState
Nurse PractitionerCO
-CO
Physical Therapist In Private PracticeCO
-CO
-CO
-CO
Cardiovascular Disease (Cardiology)CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

Can I verify DR. TYSON PETER HAGEN (MD) with an NPI only?
You can start verification with NPI 1568564631 for DR. TYSON PETER HAGEN (MD), then check state licensing separately.
Does the file indicate DR. TYSON PETER HAGEN (MD) is practicing under active NPI?
Directory data currently reports DR. TYSON PETER HAGEN (MD) as active.
What is DR. TYSON PETER HAGEN (MD)'s primary classification?
Rheumatology Physician is the headline specialty for DR. TYSON PETER HAGEN (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. TYSON PETER HAGEN (MD) on a map?
Expect Aurora, Colorado as a primary anchor for DR. TYSON PETER HAGEN (MD) unless the record lists multiple sites.
Is the information about DR. TYSON PETER HAGEN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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