TYLER LEE EVANS (D.O.) – Anesthesiology Physician, NPI 1093078495

TYLER LEE EVANS (D.O.) is a healthcare provider. based in Evans, Georgia. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. PG158664 (OR). The NPI Number for TYLER LEE EVANS (D.O.) is 1093078495

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TYLER LEE EVANS (D.O.)
NPI
1093078495
Phone
Not provided
Address
705 LAKESIDE LANDING CT
Enumeration Date
20 June 2012
Last Update Date
20 March 2016

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
8012687111
Graduation Year
2012 (14 years ago)
PAC ID
7618119793
Group Practice PAC ID
0840194643
Professional Enrollment ID
I20160527001860
Address ID
UT841241300SA1200X3900302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,330 ANESTHESIOLOGY in GA

Provider Addresses for TYLER LEE EVANS (D.O.)

  • 705 LAKESIDE LANDING CT

    EVANS, GA 308096112

    Phone:

    Type: Mailing

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone: (706) 721-3871

    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: 2016-05-27

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
I20160527001860IAnesthesiologyUTTBD

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
00142Anesthesia for lens surgery1312$0
View full utilization report →

Insurance plans in this area (ZIP 30809)

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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: 0840194643View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YKS
-UT
A N E S T H E S I O L O G YKY
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YNV
-UT
A N E S T H E S I O L O G YUT
-UT

Reviews

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Frequently asked questions

Does TYLER LEE EVANS (D.O.) have a public NPI I can cite?
Public records show TYLER LEE EVANS (D.O.) under NPI 1093078495.
Should I treat TYLER LEE EVANS (D.O.) as an active provider?
Patients and plans typically see TYLER LEE EVANS (D.O.) as active in the national extract.
What services align with TYLER LEE EVANS (D.O.)'s listing?
TYLER LEE EVANS (D.O.)'s public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to TYLER LEE EVANS (D.O.)?
The directory associates TYLER LEE EVANS (D.O.) with Evans, Georgia. Check all listed addresses for suites or satellite offices.
Can I export TYLER LEE EVANS (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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