DR. TYLER BROOKS FREDENBURG (MD) – Diagnostic Radiology Physician, NPI 1033371406
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for DR. TYLER BROOKS FREDENBURG (MD)
550 University Blvd
Room 0641
Indianapolis, IN 462025149
Phone: (317) 278-2449
Type: Location
35, South 8th Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
RICHMOND, IN 473745441
Phone: (765) 966-2929
Type: Location
1100 REID PKWY
RICHMOND, IN 473741157
Phone: (765) 983-3164
Fax: (765) 983-3260
Type: Location
IU Health University Hospital, 550, University Boulevard, Historic Ransom Place, Indianapolis, Marion, Indiana, 46202, United States
ROOM 0641
INDIANAPOLIS, IN 462025149
Phone: (317) 278-2449
Type: Mailing
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 $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-03-14 • Largest payer in this snapshot: GE HealthCare ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HealthCare | $31 |
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: 2010-09-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100914001252 | I | Diagnostic Radiology | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 638 | 524 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 284 | 274 | $0 |
| 70450 | Ct scan head or brain without contrast | 262 | 246 | $0 |
| 71046 | X-ray of chest, 2 views | 257 | 238 | $0 |
| 77067 | Screening mammography | 218 | 218 | $0 |
Insurance plans in this area (ZIP 46202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 45 | 44 |
| DIAGNOSTIC RADIOLOGY | IN | 71010 | X-ray of chest, 1 view, front | 494 | 421 |
| DIAGNOSTIC RADIOLOGY | IN | 73110 | X-ray of wrist, minimum of 3 views | 30 | 29 |
| DIAGNOSTIC RADIOLOGY | IN | 74177 | CT scan of abdomen and pelvis with contrast | 194 | 191 |
| DIAGNOSTIC RADIOLOGY | IN | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Internal Medicine | IN | |
| Family Practice | IN | |
| - | NC | |
| - | IN | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | IN | |
| - | GA | |
| Nurse Practitioner | IN | |
| - | IN |
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