TYLER J. ELAM (D.O.) – Family Medicine Physician, NPI 1144646209
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,720 FAMILY PRACTICE in KY
Provider Addresses for TYLER J. ELAM (D.O.)
432 16TH ST
ASHLAND, KY 411017693
Phone: (606) 324-0128
Fax: (606) 326-1372
Type: Location
255 Old Viking Dr
Morehead, KY 403517579
Phone: (606) 784-2774
Fax: (606) 780-1118
Type: Location
1850 Bypass Rd
Winchester, KY 403912300
Phone: (859) 744-5111
Fax: (859) 744-1177
Type: Location
PO BOX 936
LONDON, KY 407430936
Phone: (606) 330-7835
Fax: (859) 744-1177
Type: Mailing
PO BOX 550
VANCEBURG, KY 411790550
Phone: (606) 202-7359
Fax: (606) 202-7374
Type: Mailing
645 INTERSTATE DR
GRAYSON, KY 411431704
Phone: (606) 474-0669
Fax: (606) 474-0376
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $729.
Total Amount is formed as General ($729) + Research ($0) + Ownership ($0) = $729.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($285).
Total Amount
$729
General + Research + Ownership
Payments
51
Total payment records
General Amount
$729
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $285 |
| ABBVIE INC. | $277 |
| Gilead Sciences, Inc. | $88 |
| Novo Nordisk Inc | $34 |
| Hologic Sales and Service, LLC | $17 |
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: 2017-08-22
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170822003385 | I | Family Practice | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 41101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| P S Y C H I A T R Y | KY | |
| Physician Assistant | OH | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
Reviews
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