TYLER BRENNAN GOESER (MD) – Family Medicine Physician, NPI 1174103683

TYLER BRENNAN GOESER (MD) is a healthcare provider. based in Salina, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD.MD.61577138 (WA). The NPI Number for TYLER BRENNAN GOESER (MD) is 1174103683

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TYLER BRENNAN GOESER (MD)
NPI
1174103683
Phone
(701) 382-9398
Address
717 W ELM ST
Enumeration Date
9 April 2021
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096823300
Graduation Year
2021 (5 years ago)
PAC ID
0446615389
Group Practice PAC ID
9133027360
Professional Enrollment ID
I20230428002256
Address ID
WA988168810CH110XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for TYLER BRENNAN GOESER (MD)

  • 717 W ELM ST

    SALINA, KS 674012134

    Phone: (701) 382-9398

    Type: Mailing

  • 9710 STATE AVE

    MARYSVILLE, WA 982702232

    Phone: (360) 653-1742

    Type: Location

  • 219 E JOHNSON AVE

    CHELAN, WA 988169022

    Phone: (509) 682-8511

    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: 2023-04-28

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
I20230428002256IFamily PracticeWATBD

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 67401)

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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: 9133027360View full group profile
NameSpecialtyState
-WA
Internal MedicineIN
Hospitalist, Family PracticeMN
Diagnostic RadiologyMN
Physician AssistantWA
Hospitalist, Family PracticeNV
Physician AssistantWA
General SurgeryMN
Physician AssistantWA
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

What unique ID ties claims to TYLER BRENNAN GOESER (MD)?
NPI 1174103683 is assigned to TYLER BRENNAN GOESER (MD) under the national enumeration system.
Is TYLER BRENNAN GOESER (MD) currently active in the NPI registry?
CMS-published data lists TYLER BRENNAN GOESER (MD) as an active registrant.
Can you summarize TYLER BRENNAN GOESER (MD)'s specialty in plain language?
Clinically, the directory lists TYLER BRENNAN GOESER (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TYLER BRENNAN GOESER (MD)?
The page summarizes Salina, Kansas for TYLER BRENNAN GOESER (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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