C TYSON (MD) – Cardiovascular Disease Physician, NPI 1053436931

C TYSON (MD) is a healthcare provider. based in Chicago, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. The NPI Number for C TYSON (MD) is 1053436931

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
C TYSON (MD)
NPI
1053436931
Phone
(773) 734-1117
Address
8012 S CRANDON AVE
Enumeration Date
20 March 2007
Last Update Date
24 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2174654141
Graduation Year
1983 (43 years ago)
PAC ID
8921181041
Group Practice PAC ID
7315933827
Professional Enrollment ID
I20080213000368
Address ID
IL619442460PA721XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for C TYSON (MD)

  • 8012 S CRANDON AVE

    CHICAGO, IL 606171124

    Phone: (773) 734-1117

    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 39 Open Payments records for all available years, with a total value of $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($319).

Total Amount

$444

General + Research + Ownership

Payments

39

Total payment records

General Amount

$444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2008-02-13

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
I20080213000368ICardiovascular Disease (Cardiology)ILTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7862$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function7372$0
View full utilization report →

Insurance plans in this area (ZIP 60617)

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Provider's Procedures

C TYSON (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report25941420

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: 7315933827View full group profile
NameSpecialtyState
-IL
Clinical Social WorkerIL
Nurse PractitionerIL
-IL
A N E S T H E S I O L O G YIN
Nurse PractitionerIL
P S Y C H I A T R YIN
Family PracticeIL
Emergency MedicineIL
-IL

Reviews

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Frequently asked questions

What NPI should I save for C TYSON (MD)?
Save NPI 1053436931 if you need a stable reference for C TYSON (MD).
Is C TYSON (MD) active in the national directory?
C TYSON (MD)'s public NPI profile is in an active state.
What kind of provider is C TYSON (MD)?
The page reflects Cardiovascular Disease Physician for C TYSON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for C TYSON (MD)?
The page summarizes Chicago, Illinois for C TYSON (MD); expand the address list for detail.
How can I contact C TYSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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