KELLY M TYLER (MD) – Colon & Rectal Surgery Physician, NPI 1235335795

KELLY M TYLER (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 232267 (MA). The NPI Number for KELLY M TYLER (MD) is 1235335795

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KELLY M TYLER (MD)
NPI
1235335795
Phone
(413) 794-5700
Address
280 CHESTNUT ST
Enumeration Date
22 June 2007
Last Update Date
14 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
4137945550
Graduation Year
2001 (25 years ago)
PAC ID
3173615481
Group Practice PAC ID
5991602971
Professional Enrollment ID
I20070816000287
Address ID
MA011071273SP2XXXXDRXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

80 COLORECTAL SURGERY (PROCTOLOGY) in MA

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Provider Addresses for KELLY M TYLER (MD)

  • 280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States

    2ND FL

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    Type: Mailing

  • 2, Medical Center Drive, Liberty Heights, Springfield, Hampden County, Massachusetts, 01199, United States

    SUITE 308

    SPRINGFIELD, MA 011071270

    Phone: (413) 794-7020

    Fax: (413) 794-2670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-10-04 • Largest payer in this snapshot: ABBVIE INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$19
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: 2025-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070816000287IColorectal Surgery (Proctology)MATBD
I20251120002190IColorectal Surgery (Proctology)CTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7455$0
46600Diagnostic exam of anus using an endoscope4940$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4813$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1711$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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Provider's Procedures

KELLY M TYLER (MD) performs procedures in COLORECTAL SURGERY (PROCTOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
COLORECTAL SURGERY (PROCTOLOGY)MA46600Diagnostic examination of the anus using an endoscope6249

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: 5991602971View full group profile

Reviews

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Frequently asked questions

Does KELLY M TYLER (MD) have a public NPI I can cite?
Public records show KELLY M TYLER (MD) under NPI 1235335795.
Is KELLY M TYLER (MD) currently accepting referrals based on NPI status?
Registry metadata lists KELLY M TYLER (MD) as active.
What does the directory say KELLY M TYLER (MD) does?
Insurance directories may phrase it differently, but here KELLY M TYLER (MD) maps to Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KELLY M TYLER (MD)?
KELLY M TYLER (MD) shows a connection to Springfield, Massachusetts in registry-derived data.
Can I export KELLY M TYLER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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