TYLER MARK FRIZZI (DC) – Chiropractor, NPI 1053901892
Chiropractor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
770 CHIROPRACTIC in IN
Provider Addresses for TYLER MARK FRIZZI (DC)
1716 HARTFORD ST
LAFAYETTE, IN 479042138
Phone: (765) 742-1567
Fax: (765) 742-2750
Type: Mailing
4612 NOTTINGHAM DR
LAFAYETTE, IN 479093436
Phone: (812) 887-7444
Type: Mailing
2121 S Gopher Dr BLDG
Frankfort, IN 460416800
Phone: (765) 650-7875
Fax: (765) 650-7803
Type: Location
416 W Camp St
Lebanon, IN 460521799
Phone: (765) 483-4469
Fax: (765) 483-4495
Type: Location
2316 South St
Lafayette, IN 479042971
Phone: (765) 742-1567
Fax: (765) 429-2700
Type: Location
920 W BROADWAY ST
MONTICELLO, IN 479601814
Phone: (574) 583-5811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-05-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210513001143 | I | Chiropractic | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| C H I R O P R A C T I C | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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