DR. TYLER J FISHER (M.D.) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1114213451

DR. TYLER J FISHER (M.D.) is a healthcare provider. based in Des moines, Iowa. specializing in Pediatric Emergency Medicine (Pediatrics) Physician. They hold the professional credentials M.D.. They hold a License No. 2014008797 (MO). The NPI Number for DR. TYLER J FISHER (M.D.) is 1114213451

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYLER J FISHER (M.D.)
NPI
1114213451
Phone
(515) 241-6611
Address
1200 PLEASANT ST
Enumeration Date
24 June 2011
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
8164785200
Graduation Year
2011 (15 years ago)
PAC ID
8628370954
Group Practice PAC ID
2466366026
Professional Enrollment ID
I20170831001304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for DR. TYLER J FISHER (M.D.)

  • 1200 PLEASANT ST

    DES MOINES, IA 503091406

    Phone: (515) 241-6611

    Mailing address matches the actual address.

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: 2020-12-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201214001061IPediatric MedicineIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50309)

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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: 2466366026View full group profile
NameSpecialtyState
Diagnostic Radiology, Radiation OncologyMO
Pediatric MedicineTX
Anesthesiology, Cardiovascular Disease (Cardiology)KS
-MO
Diagnostic RadiologyMO
Urology, Pediatric MedicineMO
Diagnostic RadiologyMO
Pediatric Medicine, Emergency MedicineMO
-MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

Does DR. TYLER J FISHER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TYLER J FISHER (M.D.) uses 1114213451.
Does CMS list DR. TYLER J FISHER (M.D.) as active?
Yes — DR. TYLER J FISHER (M.D.) is active in the NPI listing used on this page.
What is DR. TYLER J FISHER (M.D.)'s specialty?
The listing groups DR. TYLER J FISHER (M.D.) with Pediatric Emergency Medicine (Pediatrics) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. TYLER J FISHER (M.D.) on a map?
Expect Des Moines, Iowa as a primary anchor for DR. TYLER J FISHER (M.D.) unless the record lists multiple sites.
Why does DR. TYLER J FISHER (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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