DR. TYLER MOUW (M.D.) – Surgical Oncology Physician, NPI 1588058499
Surgical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
34 SURGICAL ONCOLOGY in KY
Provider Addresses for DR. TYLER MOUW (M.D.)
10613 EVANWOOD DR
LOUISVILLE, KY 402281957
Phone: (319) 621-7070
Type: Mailing
315 E BROADWAY STE 312
LOUISVILLE, KY 402023700
Phone: (913) 588-5000
Type: Location
315 E Broadway Ste 312
Louisville, KY 402023700
Phone: (913) 588-5000
Type: Location
3601 4TH ST
LUBBOCK, TX 794300002
Phone: (806) 743-2373
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $322.
Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Innovation Technologies Inc ($147).
Total Amount
$322
General + Research + Ownership
Payments
11
Total payment records
General Amount
$322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $147 |
| Smith+Nephew, Inc. | $65 |
| Amgen Inc. | $28 |
| AngioDynamics, Inc. | $25 |
| Pacira Pharmaceuticals Incorporated | $21 |
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: 2022-08-15
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 |
|---|---|---|---|---|
| I20220815000382 | I | Surgical Oncology | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 19 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 40228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology | PA | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| - | TX |
Reviews
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