TYLER KENDRICK MERCERON (MD) – Plastic and Reconstructive Surgery Physician, NPI 1528455441
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 PLASTIC AND RECONSTRUCTIVE SURGERY in GA
Provider Addresses for TYLER KENDRICK MERCERON (MD)
1364 CLIFTON RD NE
H100 EMORY UNIVERSITY HOSPITAL, 1ST FLOOR
ATLANTA, GA 303221059
Phone: (404) 727-0093
Type: Location
15702 MISTY HEATH LN
HOUSTON, TX 770847550
Phone:
Type: Mailing
759 WINTON WAY
ATLANTA, GA 303123818
Phone:
Type: Mailing
554 NORTH DUKE STREET
LANCASTER, PA 176022250
Phone: (717) 291-5863
Fax: (717) 392-6915
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $997.
Total Amount is formed as General ($997) + Research ($0) + Ownership ($0) = $997.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: RTI SURGICAL, INC ($439).
Total Amount
$997
General + Research + Ownership
Payments
14
Total payment records
General Amount
$997
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RTI SURGICAL, INC | $439 |
| ABBVIE INC. | $109 |
| DePuy Synthes Sales Inc. | $105 |
| AXOGEN | $97 |
| Kerecis Limited | $95 |
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: 2025-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20211207000043 | I | General Surgery | GA | TBD |
| I20240628002795 | I | Plastic And Reconstructive Surgery | TX | TBD |
| I20250409000566 | I | Plastic And Reconstructive Surgery | NJ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Physician Assistant | GA | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | GA | |
| Physician Assistant | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX |
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