DR. TYLER CHARLES PIETRYKOWSKI (O.D.) – Optometrist, NPI 1710407564

DR. TYLER CHARLES PIETRYKOWSKI (O.D.) is a healthcare provider. based in Madison, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18004040A (IN). The NPI Number for DR. TYLER CHARLES PIETRYKOWSKI (O.D.) is 1710407564

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYLER CHARLES PIETRYKOWSKI (O.D.)
NPI
1710407564
Phone
(812) 599-6158
Address
1746 E THORNTON RD
Enumeration Date
22 June 2017
Last Update Date
22 June 2017

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8122656222
Graduation Year
2017 (9 years ago)
PAC ID
4486923117
Group Practice PAC ID
0648257022
Professional Enrollment ID
I20170711003653
Address ID
IN472502492MA2580XRDXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for DR. TYLER CHARLES PIETRYKOWSKI (O.D.)

  • 1746 E THORNTON RD

    MADISON, IN 472509569

    Phone: (812) 599-6158

    Type: Mailing

  • 2, Michigan Road, Industrial Park, Madison, Jefferson County, Indiana, 47250, United States

    MADISON, IN 472502492

    Phone: (812) 265-6222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $474.

Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Alcon Vision LLC ($139).

Total Amount

$474

General + Research + Ownership

Payments

13

Total payment records

General Amount

$474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2017-07-11

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
I20170711003653IOptometryINTBD

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
92014Established patient complete exam of visual system200199$0
99213Established patient office or other outpatient visit, 20-29 minutes151104$0
99214Established patient office or other outpatient visit, 30-39 minutes125115$0
92250Photography of the retina106103$0
92134Imaging of retina5553$0
View full utilization report →

Insurance plans in this area (ZIP 47250)

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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: 0648257022View full group profile
NameSpecialtyState
-IN
O P T O M E T R YIN
-OH
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TYLER CHARLES PIETRYKOWSKI (O.D.)?
NPI 1710407564 is assigned to DR. TYLER CHARLES PIETRYKOWSKI (O.D.) under the national enumeration system.
Is DR. TYLER CHARLES PIETRYKOWSKI (O.D.) currently active in the NPI registry?
CMS-published data lists DR. TYLER CHARLES PIETRYKOWSKI (O.D.) as an active registrant.
What field does DR. TYLER CHARLES PIETRYKOWSKI (O.D.) work in?
You can think of DR. TYLER CHARLES PIETRYKOWSKI (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. TYLER CHARLES PIETRYKOWSKI (O.D.) practice in Indiana?
You will see Madison, Indiana on file for DR. TYLER CHARLES PIETRYKOWSKI (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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