TYLER ANDREW SMITH (M.D.) – Diagnostic Radiology Physician, NPI 1487004529
Diagnostic Radiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
53 INTERVENTIONAL RADIOLOGY in IA
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Provider Addresses for TYLER ANDREW SMITH (M.D.)
Broadlawns Medical Center, 1801, Hickman Road, Des Moines, Polk County, Iowa, 50314, United States
DES MOINES, IA 503141505
Phone: (515) 282-5640
Fax: (515) 282-2332
Type: Mailing
1801 Hickman Rd
Des Moines, IA 503141505
Phone: (515) 282-5640
Fax: (515) 282-2332
Type: Location
PO BOX 30180
SALT LAKE CITY, UT 841300180
Phone: (801) 357-4423
Type: Mailing
1034 N 500 W
PROVO, UT 846043380
Phone: (801) 357-4423
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $5,748.
Total Amount is formed as General ($5,748) + Research ($0) + Ownership ($0) = $5,748.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($3,908).
Total Amount
$5,748
General + Research + Ownership
Payments
36
Total payment records
General Amount
$5,748
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $3,908 |
| Siemens Medical Solutions USA, Inc. | $1,256 |
| Bard Peripheral Vascular, Inc. | $229 |
| Penumbra, Inc. | $127 |
| Thrombolex, Inc. | $125 |
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: 2025-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230518002572 | I | Interventional Radiology | UT | TBD |
| I20250711002425 | I | Diagnostic Radiology | UT | 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 |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 44 | 40 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 29 | 23 | $0 |
| 36247 | Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 17 | 12 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 13 | 13 | $0 |
| 71045 | X-ray of chest, 1 view | 12 | 11 | $0 |
Insurance plans in this area (ZIP 50314)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| A N E S T H E S I O L O G Y | UT |
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