TYLER JOSHUA GREENWOOD (PA) – Physician Assistant, NPI 1043768088
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for TYLER JOSHUA GREENWOOD (PA)
1723 BROADWAY ST
SUITE 410
CAPE GIRARDEAU, MO 637014566
Phone: (573) 332-7746
Fax: (573) 339-9709
Type: Mailing
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-5583
Fax: (573) 331-5079
Type: Mailing
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 637035049
Phone: (573) 331-5330
Fax: (573) 331-5025
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Boston Scientific Corporation ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $17 |
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: 2016-09-29
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 |
|---|---|---|---|---|
| I20160929001013 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 46 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 34 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 23 | 18 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 23 | 13 | $0 |
Insurance plans in this area (ZIP 63701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| General Surgery | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
Reviews
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