TYLER TEWILLIAGER (DPM) – Podiatrist, NPI 1295230118

TYLER TEWILLIAGER (DPM) is a healthcare provider. based in Louisville, Kentucky. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 282269 (KY). The NPI Number for TYLER TEWILLIAGER (DPM) is 1295230118

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
TYLER TEWILLIAGER (DPM)
NPI
1295230118
Phone
(502) 721-8288
Address
6400 DUTCHMANS PKWY STE 215
Enumeration Date
25 March 2018
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9858681540
Graduation Year
2018 (8 years ago)
PAC ID
3678820321
Group Practice PAC ID
4183683923
Professional Enrollment ID
I20250623002838
Address ID
LA703604629HO1001XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:8State licenses:3Digital endpointsOther names

953 PODIATRY in OH

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Provider Addresses for TYLER TEWILLIAGER (DPM)

  • 6400 DUTCHMANS PKWY STE 215

    LOUISVILLE, KY 402053343

    Phone: (502) 721-8288

    Type: Mailing

  • East State Street, Discovery District, Columbus, Franklin, Ohio, 43216, United States

    COLUMBUS, OH 432154360

    Phone: (614) 566-9041

    Fax: (614) 566-8073

    Type: Mailing

  • Columbus, Town of Columbus, Chenango County, New York, United States

    COLUMBUS, OH 432154799

    Phone: (614) 566-9108

    Fax: (614) 566-8188

    Type: Location

  • 6400 Dutchmans Pkwy Ste 215

    Louisville, KY 402053343

    Phone: (502) 721-8288

    Type: Location

  • 1216 N Victor II Blvd

    Morgan City, LA 703801382

    Phone: (985) 384-7001

    Fax: (985) 873-2968

    Type: Location

  • 13554 Highway 3235

    LaRose, LA 703733203

    Phone: (985) 798-7763

    Fax: (985) 873-2968

    Type: Location

  • 107 Maryland Dr

    Luling, LA 700702163

    Phone: (985) 868-1540

    Fax: (985) 873-2968

    Type: Location

  • 285 E State St

    Columbus, OH 432154354

    Phone: (614) 566-8073

    Type: Location

  • 393 E Town St Ste 116

    Columbus, OH 432154799

    Phone: (614) 566-9108

    Fax: (614) 566-8188

    Type: Location

  • 8101 E Lowry Blvd Ste 230

    Denver, CO 802307195

    Phone: (303) 344-9090

    Fax: (303) 344-1922

    Type: Location

  • 1001 SCHOOL ST

    HOUMA, LA 703604629

    Phone: (985) 868-1540

    Fax: (985) 873-2968

    Type: Mailing

  • 8101 E LOWRY BLVD

    STE 230

    DENVER, CO 802307195

    Phone: (303) 344-9090

    Fax: (303) 344-1922

    Type: Mailing

  • 8101 E LOWRY BLVD STE 230

    DENVER, CO 802307195

    Phone: (303) 344-9090

    Fax: (303) 344-1922

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $9,247.

Total Amount is formed as General ($9,247) + Research ($0) + Ownership ($0) = $9,247.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($2,349).

Total Amount

$9,247

General + Research + Ownership

Payments

95

Total payment records

General Amount

$9,247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210714003677IPodiatryCOTBD
I20230314001719IPodiatryKYTBD
I20250623002838IPodiatryLATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10957$0
11721Removal of fingernails or toenails, 6 or more nails2918$0
73630X-ray of foot, minimum of 3 views2417$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2423$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 40205)

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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: 4183683923View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeLA
Orthopedic SurgeryLA
Orthopedic SurgeryLA
Occupational Therapist In Private PracticeLA
Physical Therapist In Private PracticeLA
Orthopedic SurgeryCA
Orthopedic SurgeryLA
Physical Therapist In Private PracticeLA
-LA
Physical Therapist In Private PracticeLA

Reviews

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Frequently asked questions

What is the standard ID for TYLER TEWILLIAGER (DPM) in the U.S.?
In the U.S., TYLER TEWILLIAGER (DPM) is identified by NPI 1295230118.
Should I treat TYLER TEWILLIAGER (DPM) as an active provider?
Patients and plans typically see TYLER TEWILLIAGER (DPM) as active in the national extract.
What does the directory say TYLER TEWILLIAGER (DPM) does?
Insurance directories may phrase it differently, but here TYLER TEWILLIAGER (DPM) maps to Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to TYLER TEWILLIAGER (DPM)?
TYLER TEWILLIAGER (DPM) shows a connection to Louisville, Kentucky in registry-derived data.
Why is information missing for TYLER TEWILLIAGER (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.