DR. TYSON BURGHARDT (MD) – Clinical Neurophysiology Physician, NPI 1033353198

DR. TYSON BURGHARDT (MD) is a healthcare provider. based in East lansing, Michigan. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 4301092895 (MI). The NPI Number for DR. TYSON BURGHARDT (MD) is 1033353198

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYSON BURGHARDT (MD)
NPI
1033353198
Phone
(517) 884-2976
Address
804 SERVICE RD STE A109B
Enumeration Date
20 April 2009
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
8426214214
Group Practice PAC ID
6709799166
Professional Enrollment ID
I20120723000929
Address ID
MI489121811LA1215XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

964 NEUROLOGY in MI

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Provider Addresses for DR. TYSON BURGHARDT (MD)

  • 804 SERVICE RD STE A109B

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • Clinical Center A Wing, 804, Service Road, East Neighborhood, East Lansing, Ingham County, Michigan, 48824, United States

    ROOM A201

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3713

    Type: Mailing

  • 804, Service Road, East Lansing, Ingham County, Michigan, 48824, United States

    ROOM A217

    EAST LANSING, MI 488247040

    Phone: (517) 353-8122

    Fax: (517) 432-3713

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,655.

Total Amount is formed as General ($1,655) + Research ($0) + Ownership ($0) = $1,655.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: UCB, Inc. ($617).

Total Amount

$1,655

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,655

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

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: 2012-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120723000929INeurologyMITBD

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 minutes7361$0
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional6434$0
95816Measurement of brain wave activity (eeg), awake and drowsy5252$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4242$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4121$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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Provider's Procedures

DR. TYSON BURGHARDT (MD) performs procedures in NEUROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYMI95819Measurement and recording of brain wave (EEG) activity, awake and asleep114111

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: 6709799166View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Family PracticeMI
-MI
P A T H O L O G YIL
Nurse PractitionerMI
Vascular Surgery, General SurgeryMI
Nurse PractitionerMI
Internal MedicineMI
Family PracticeMI

Reviews

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Frequently asked questions

Is there an official ID for DR. TYSON BURGHARDT (MD) in U.S. healthcare records?
The official identifier for DR. TYSON BURGHARDT (MD) is NPI 1033353198.
Is there an active status for DR. TYSON BURGHARDT (MD)?
For scheduling context, DR. TYSON BURGHARDT (MD) is shown as active in the registry.
How would a patient describe DR. TYSON BURGHARDT (MD)'s focus?
For DR. TYSON BURGHARDT (MD), the primary taxonomy reads as Clinical Neurophysiology Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. TYSON BURGHARDT (MD) registered?
Use East Lansing, Michigan as the headline location for DR. TYSON BURGHARDT (MD) here.
When was this NPI issued?
Enumeration for DR. TYSON BURGHARDT (MD) is noted as April 20, 2009 where the registry provides it.

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