TYLER KRAFT – Medical Physician Assistant, NPI 1053860361

TYLER KRAFT is a healthcare provider. based in St charles, Illinois. specializing in PHYSICIAN ASSISTANT. They hold a License No. 11096 (GA). The NPI Number for TYLER KRAFT is 1053860361

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
TYLER KRAFT
NPI
1053860361
Phone
Not provided
Address
6N961 GLENVIEW DR
Enumeration Date
27 September 2016
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122011140
Graduation Year
2021 (5 years ago)
PAC ID
4284017385
Group Practice PAC ID
4789900051
Professional Enrollment ID
I20220823002611
Address ID
GA314059521SA5730XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for TYLER KRAFT

  • 6N961 GLENVIEW DR

    ST CHARLES, IL 601751900

    Phone:

    Type: Mailing

  • 210 E DERENNE AVE

    SAVANNAH, GA 314056736

    Phone: (912) 644-5300

    Type: Location

  • 6N961 Glenview Dr

    St Charles, IL 601751900

    Phone: (630) 709-1327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Amgen Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$19
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: 2022-08-23

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
I20220823002611IPhysician AssistantGATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg78085$0
99213Established patient office or other outpatient visit, 20-29 minutes307276$0
99203New patient office or other outpatient visit, 30-44 minutes9494$0
J0696Injection, ceftriaxone sodium, per 250 mg5616$0
81002Urinalysis, manual test4645$0
View full utilization report →

Insurance plans in this area (ZIP 60175)

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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: 4789900051View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantVA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Nurse PractitionerGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the registry number for TYLER KRAFT?
The registry entry for TYLER KRAFT shows NPI 1053860361.
Is TYLER KRAFT currently accepting referrals based on NPI status?
Registry metadata lists TYLER KRAFT as active.
How should patients interpret TYLER KRAFT's specialty?
The extract shows Medical Physician Assistant for TYLER KRAFT. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TYLER KRAFT?
TYLER KRAFT is associated with St Charles, Illinois in the same public data insurers reference.
Who maintains TYLER KRAFT's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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