JOHN WILLIAM TYSON (MD) – Surgery Physician, NPI 1649265117
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
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Provider Addresses for JOHN WILLIAM TYSON (MD)
Whole Foods Market, 10601, San Jose Boulevard, Plummers, Jacksonville, Duval County, Florida, 32257, United States
STE 300
JACKSONVILLE, FL 322231613
Phone: (904) 396-1725
Fax: (904) 399-1717
Type: Mailing
4012, North 9th Avenue, Pensacola Village, Pensacola, Escambia County, Florida, 32503, United States
PENSACOLA, FL 325032824
Phone: (850) 444-4777
Fax: (850) 434-3387
Type: Location
4012 N 9th Ave
Pensacola, FL 325032824
Phone: (850) 444-4777
Fax: (850) 434-3387
Type: Location
424 Savannah Rd
Lewes, DE 199581462
Phone: (302) 703-3630
Fax: (302) 645-3637
Type: Location
19161 Healthy Way
Rehoboth Beach, DE 199714491
Phone: (302) 703-3630
Fax: (302) 703-3637
Type: Location
1515 SAVANNAH RD
LEWES, DE 199581675
Phone: (302) 645-3499
Fax: (302) 644-4830
Type: Mailing
33672 BAYVIEW MEDICAL DR FL 1
LEWES, DE 199581687
Phone: (302) 703-3630
Fax: (302) 703-3637
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $5,432.
Total Amount is formed as General ($5,432) + Research ($0) + Ownership ($0) = $5,432.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,409).
Total Amount
$5,432
General + Research + Ownership
Payments
43
Total payment records
General Amount
$5,432
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $4,409 |
| ACUMED LLC | $248 |
| Becton, Dickinson and Company | $201 |
| DePuy Synthes Sales Inc. | $182 |
| Medtronic, Inc. | $88 |
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: 2023-05-22
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 |
|---|---|---|---|---|
| I20230522002549 | I | General Surgery | DE | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | 50 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 49 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 17 | $0 |
Insurance plans in this area (ZIP 32223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NY | |
| - | PA | |
| Internal Medicine | DE | |
| - | DE | |
| - | DE | |
| Internal Medicine | DE | |
| Infectious Disease, Internal Medicine | DE | |
| Family Practice | NY | |
| General Surgery | DE | |
| Physician Assistant | DE |
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