TYLER J. KELLY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1023458478

TYLER J. KELLY (DPM) is a healthcare provider. based in Evansville, Indiana. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 41000290A (IN). The NPI Number for TYLER J. KELLY (DPM) is 1023458478

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
TYLER J. KELLY (DPM)
NPI
1023458478
Phone
(812) 477-1558
Address
225 CROSSLAKE DR.
Enumeration Date
30 June 2013
Last Update Date
18 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124771558
Graduation Year
2013 (13 years ago)
PAC ID
0244529311
Group Practice PAC ID
7416860663
Professional Enrollment ID
I20160512000535
Address ID
IN477158198EV225XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

393 PODIATRY in IN

Provider Addresses for TYLER J. KELLY (DPM)

  • 225 CROSSLAKE DR.

    EVANSVILLE, IN 477157607

    Phone: (812) 477-1558

    Type: Mailing

  • 225 CROSSLAKE DR

    EVANSVILLE, IN 477158198

    Phone: (812) 477-1558

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,646.

Total Amount is formed as General ($1,646) + Research ($0) + Ownership ($0) = $1,646.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Nevro Corp. ($281).

Total Amount

$1,646

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,646

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-05-12

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
I20160512000535IPodiatryINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes589341$0
73630X-ray of foot, minimum of 3 views347271$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg29172$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg19725$0
99203New patient office or other outpatient visit, 30-44 minutes188188$0
View full utilization report →

Insurance plans in this area (ZIP 47715)

Loading plans...

Provider's Procedures

TYLER J. KELLY (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIN11056Removal of 2 to 4 thickened skin growths156128
PODIATRYIN11720Removal of tissue from 1 to 5 finger or toe nails10794

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: 7416860663View full group profile
NameSpecialtyState
-IN
Physician AssistantIN
Orthopedic SurgeryIN
-IN
P O D I A T R YIN
Orthopedic Surgery, Sports MedicineIN
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Nurse PractitionerIN
Orthopedic Surgery, Sports MedicineIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for TYLER J. KELLY (DPM)?
The registry entry for TYLER J. KELLY (DPM) shows NPI 1023458478.
Does the public listing show TYLER J. KELLY (DPM) as active?
TYLER J. KELLY (DPM)'s NPI record reflects an active status in NPPES.
Which specialty label fits TYLER J. KELLY (DPM)?
NPPES ties TYLER J. KELLY (DPM) to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TYLER J. KELLY (DPM)?
The directory associates TYLER J. KELLY (DPM) with Evansville, Indiana. Check all listed addresses for suites or satellite offices.
Can I export TYLER J. KELLY (DPM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

TRI-STATE ORTHOPAEDIC SURGEONS, INC.

Orthopaedic Surgery Physician
225, Crosslake Drive, Evansville, Vanderburgh County, Indiana, 47715, United States
NPI: 1073501003

ORTHOPAEDIC ASSOCIATES, INC.

Orthopaedic Surgery Physician
PO BOX 328
NPI: 1477542165

DR. LORI LYNNE HUPFER (DPM)

Foot Surgery Podiatrist
PO BOX 15454
NPI: 1063446813

PAUL T DAINES (D.P.M.)

Foot & Ankle Surgery Podiatrist
225, Crosslake Drive, Evansville, Vanderburgh County, Indiana, 47715, United States
NPI: 1235164054

STUART T. LOVE (DPM)

Foot & Ankle Surgery Podiatrist
3700, Bellemeade Avenue, Evansville, Vanderburgh County, Indiana, 47714, United States
NPI: 1790850626

BURRESS & SERLETIC PODIATRY

Foot & Ankle Surgery Podiatrist
1819, Washington Avenue, Evansville, Vanderburgh County, Indiana, 47714, United States
NPI: 1871771212

SARAH M VOELKEL (DPM)

Foot & Ankle Surgery Podiatrist
PO BOX 13059
NPI: 1033357363

ORTHOPAEDIC ASSOCIATES, INC.

Orthopaedic Surgery Physician
PO BOX 328
NPI: 1932341922

DR. PHILLIP E RICHARDSON (D.P.M.)

Foot & Ankle Surgery Podiatrist
515 READ ST
NPI: 1629363072