MYLES ELDON TIESZEN (MD) – Surgery Physician, NPI 1063464683

MYLES ELDON TIESZEN (MD) is a healthcare provider. based in Council bluffs, Iowa. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 3813 (SD). The NPI Number for MYLES ELDON TIESZEN (MD) is 1063464683

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MYLES ELDON TIESZEN (MD)
NPI
1063464683
Phone
(712) 388-2660
Address
800 Mercy Dr
Enumeration Date
16 May 2006
Last Update Date
22 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3085683700
Graduation Year
1989 (37 years ago)
PAC ID
3678473949
Group Practice PAC ID
6507856697
Professional Enrollment ID
I20060725000433
Address ID
NE691016579NO500XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

377 GENERAL SURGERY in IA

Provider Addresses for MYLES ELDON TIESZEN (MD)

  • 800 Mercy Dr

    Suite 220

    Council Bluffs, IA 515033128

    Phone: (712) 388-2660

    Fax: (712) 388-2665

    Type: Location

  • Sioux Valley Drive, Luverne, Rock County, Minnesota, 56156, United States

    LUVERNE, MN 561564500

    Phone: (507) 283-4476

    Fax: (507) 283-9086

    Type: Mailing

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: 2020-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20060725000433IGeneral SurgeryNETBD
I20100212000165IGeneral SurgeryIATBD
I20190307000965IGeneral SurgeryMNTBD
I20201105002056IGeneral SurgerySDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3424$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3029$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1714$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 51503)

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Provider's Procedures

MYLES ELDON TIESZEN (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYIA45385Removal of polyps or growths of large bowel using an endoscope1717

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: 6507856697View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyNE
Physical Medicine And RehabilitationNE
U R O L O G YNE
Nurse PractitionerCO
P S Y C H I A T R YIA
P A T H O L O G YNE
Certified Registered Nurse Anesthetist (Crna)CO
Sleep MedicineIA
Physician AssistantNE
Plastic And Reconstructive SurgeryNE

Reviews

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Frequently asked questions

Can I cross-check MYLES ELDON TIESZEN (MD) using NPI 1063464683?
NPI 1063464683 belongs to MYLES ELDON TIESZEN (MD); compare other details if you need extra assurance.
Would MYLES ELDON TIESZEN (MD) appear as active to a payer?
You can treat MYLES ELDON TIESZEN (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MYLES ELDON TIESZEN (MD)'s focus?
For MYLES ELDON TIESZEN (MD), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MYLES ELDON TIESZEN (MD) associated with Council Bluffs?
Public fields place MYLES ELDON TIESZEN (MD) around Council Bluffs, Iowa. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MYLES ELDON TIESZEN (MD) is noted as May 16, 2006 where the registry provides it.

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