TYLER DRAKE MENGE (MD) – Dermatopathology (Pathology) Physician, NPI 1922461235
Dermatopathology (Pathology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
573 PATHOLOGY in MI
Provider Addresses for TYLER DRAKE MENGE (MD)
2215 Fuller Rd
Ann Arbor, MI 481052303
Phone: (734) 769-7100
Type: Location
2651 Hillcrest Dr Ste 304
Hudson, WI 540169914
Phone: (651) 633-6883
Type: Location
4444 W Bristol Rd Ste 150
Flint, MI 485073161
Phone: (833) 322-3376
Type: Location
3131 S STATE ST STE 309
ANN ARBOR, MI 481081658
Phone: (503) 906-7300
Fax: (503) 245-8219
Type: Location
Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States
BH616
BOSTON, MA 021142621
Phone: (617) 726-5254
Type: Mailing
4444 W BRISTOL RD STE 150
FLINT, MI 485073161
Phone: (833) 322-3376
Type: Mailing
12254 SW GARDEN PL
TIGARD, OR 972238246
Phone: (503) 906-7300
Fax: (503) 245-8219
Type: Location
PO BOX 230457
PORTLAND, OR 972810457
Phone: (503) 906-7300
Type: Mailing
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 551131306
Phone: (651) 633-6883
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2025-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20210728002491 | I | Pathology | OR | TBD |
| I20240723003744 | I | Pathology | MI | TBD |
| I20251017001596 | I | Dermatology | MN | TBD |
| I20251201001636 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,700 | 1,949 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 156 | 153 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 140 | 104 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 90 | 50 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 68 | 63 | $0 |
Insurance plans in this area (ZIP 48105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | NJ | |
| Physician Assistant | MI | |
| Physician Assistant | MI |
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