DR. SETH TYLER KOEHLER (D.O.) – Family Medicine Physician, NPI 1255782843

DR. SETH TYLER KOEHLER (D.O.) is a healthcare provider. based in Jackson, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 2018007982 (MO). The NPI Number for DR. SETH TYLER KOEHLER (D.O.) is 1255782843

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. SETH TYLER KOEHLER (D.O.)
NPI
1255782843
Phone
(573) 755-2310
Address
2600 E MAIN ST
Enumeration Date
25 June 2016
Last Update Date
2 November 2020

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5734721770
Graduation Year
2016 (10 years ago)
PAC ID
3577854108
Group Practice PAC ID
6507818044
Professional Enrollment ID
I20181203000133
Address ID
MO638014403SI200XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. SETH TYLER KOEHLER (D.O.)

  • East Main Street, Spragueville, Jackson County, Iowa, 52074, United States

    JACKSON, MO 637552473

    Phone: (573) 755-2310

    Fax: (573) 519-4675

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $674.

Total Amount is formed as General ($674) + Research ($0) + Ownership ($0) = $674.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Amgen Inc. ($99).

Total Amount

$674

General + Research + Ownership

Payments

36

Total payment records

General Amount

$674

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2018-12-03

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
I20181203000133IFamily PracticeMOTBD

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 minutes408188$0
99213Established patient office or other outpatient visit, 20-29 minutes9374$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7979$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes6628$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes5246$0
View full utilization report →

Insurance plans in this area (ZIP 63755)

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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: 6507818044View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO
Nurse PractitionerMO
-AR
Mental Health CounselorMO
Vascular Surgery, Family Practice, Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How is DR. SETH TYLER KOEHLER (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. SETH TYLER KOEHLER (D.O.) with NPI 1255782843.
Can I rely on DR. SETH TYLER KOEHLER (D.O.) being an active provider?
As of the registry snapshot, DR. SETH TYLER KOEHLER (D.O.) is marked active.
What is DR. SETH TYLER KOEHLER (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. SETH TYLER KOEHLER (D.O.) here. Clinical services aligned with this taxonomy classification.
What area does DR. SETH TYLER KOEHLER (D.O.) serve?
DR. SETH TYLER KOEHLER (D.O.)'s listing highlights Jackson, Missouri; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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