TYLER ROSHAK – Physician Assistant, NPI 1952091480
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 ROSHAK
1868 W Hebron Ln Ste 200
Shepherdsville, KY 401657493
Phone: (502) 583-6647
Type: Location
2307 RIVER RD STE 101
LOUISVILLE, KY 402065000
Phone: (502) 583-6647
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $5,342.
Total Amount is formed as General ($1,189) + Research ($4,153) + Ownership ($0) = $5,342.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: SANOFI US SERVICES INC. ($4,153).
Total Amount
$5,342
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,189
General payments
Research Amount
$4,153
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI US SERVICES INC. | $4,153 |
| Galderma Laboratories, L.P. | $215 |
| GENZYME CORPORATION | $199 |
| ABBVIE INC. | $160 |
| Lilly USA, LLC | $138 |
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: 2023-10-04
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 |
|---|---|---|---|---|
| I20231004003092 | I | Physician Assistant | 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 40165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AR | |
| Physician Assistant | KY | |
| Micrographic Dermatologic Surgery (Mds) | KY | |
| - | KY |
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