TYLER ROBERTS (PA-C) – Physician Assistant, NPI 1164033353
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for TYLER ROBERTS (PA-C)
251 WILSONVILLE HEIGHTS DR
FISHERVILLE, KY 400237417
Phone: (502) 322-7192
Type: Mailing
PRIVATE
LOUISVILLE, KY 40241
Phone: (502) 322-7192
Type: Location
Private
Louisville, KY 40241
Phone: (502) 322-7192
Type: Location
1335 GERONIMO DR
EL PASO, TX 799251836
Phone: (915) 591-2704
Type: Mailing
15 EXCHANGE DR
LUGOFF, SC 290789198
Phone: (803) 670-8238
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $540.
Total Amount is formed as General ($540) + Research ($0) + Ownership ($0) = $540.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($315).
Total Amount
$540
General + Research + Ownership
Payments
23
Total payment records
General Amount
$540
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 |
|---|---|
| Inspire Medical Systems, Inc. | $315 |
| Axsome Therapeutics, Inc. | $121 |
| GENZYME CORPORATION | $90 |
| KARL STORZ Endoscopy-America | $14 |
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: 2023-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230324002652 | I | Physician Assistant | SC | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 28 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 22 | 22 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 21 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 40023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| - | SC | |
| Physician Assistant | FL | |
| Qualified Audiologist | KS | |
| Physical Therapist In Private Practice | SC | |
| Physician Assistant | SC | |
| O T O L A R Y N G O L O G Y | SC | |
| Physician Assistant | NC | |
| Qualified Audiologist | SC | |
| Otolaryngology, Allergy/Immunology | SC |
Reviews
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