DR. TYLER INCHUL AN (D.O.) – Gastroenterology Physician, NPI 1063705135

DR. TYLER INCHUL AN (D.O.) is a healthcare provider. based in Cumming, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials D.O.. They hold a License No. 5101019313 (MI). The NPI Number for DR. TYLER INCHUL AN (D.O.) is 1063705135

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYLER INCHUL AN (D.O.)
NPI
1063705135
Phone
(404) 446-0600
Address
4150 DEPUTY BILL CANTRELL MEMORIAL RD
Enumeration Date
24 May 2011
Last Update Date
21 January 2021

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4044400600
Graduation Year
2011 (15 years ago)
PAC ID
1254555378
Group Practice PAC ID
6204136583
Professional Enrollment ID
I20181219003692
Address ID
GA300407135CU4150XRDXX601
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

524 GASTROENTEROLOGY in GA

Provider Addresses for DR. TYLER INCHUL AN (D.O.)

  • 4150 DEPUTY BILL CANTRELL MEMORIAL RD

    SUITE 290

    CUMMING, GA 300403005

    Phone: (404) 446-0600

    Fax: (404) 446-0601

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $3,093.

Total Amount is formed as General ($3,093) + Research ($0) + Ownership ($0) = $3,093.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($1,303).

Total Amount

$3,093

General + Research + Ownership

Payments

115

Total payment records

General Amount

$3,093

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2018-12-19

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
I20181219003692IGastroenterologyGATBD

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 minutes512351$0
99204New patient office or other outpatient visit, 45-59 minutes145145$0
45380Biopsy of large bowel using a flexible endoscope143142$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare136135$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope128125$0
View full utilization report →

Insurance plans in this area (ZIP 30040)

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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: 6204136583View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineGA
-GA
Gastroenterology, Internal MedicineGA
Internal Medicine, GastroenterologyGA
P A T H O L O G YUT
G A S T R O E N T E R O L O G YGA

Reviews

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Frequently asked questions

What is the standard ID for DR. TYLER INCHUL AN (D.O.) in the U.S.?
In the U.S., DR. TYLER INCHUL AN (D.O.) is identified by NPI 1063705135.
Is DR. TYLER INCHUL AN (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. TYLER INCHUL AN (D.O.) as active.
Which specialty label fits DR. TYLER INCHUL AN (D.O.)?
NPPES ties DR. TYLER INCHUL AN (D.O.) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. TYLER INCHUL AN (D.O.) in Cumming, Georgia?
For routing, start with Cumming, Georgia for DR. TYLER INCHUL AN (D.O.), then verify phone and hours locally.
Who maintains DR. TYLER INCHUL AN (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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