TYLER JAMES GOUGE (MD) – Family Medicine Physician, NPI 1275062432
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
144 SPORTS MEDICINE in MO
Provider Addresses for TYLER JAMES GOUGE (MD)
3916 S Providence Rd
Columbia, MO 652037152
Phone: (573) 884-4400
Fax: (573) 884-5994
Type: Location
608 city route 66
st robert, MO 65584
Phone: (573) 336-2351
Type: Location
331 Hospital Dr Ste A
Lebanon, MO 655369251
Phone: (417) 533-6560
Type: Location
331 HOSPITAL DR STE A
LEBANON, MO 655369251
Phone: (417) 533-6560
Type: Mailing
University Hospital, 1, Hospital Drive, Columbia, Boone County, Missouri, 65212, United States
COLUMBIA, MO 652121000
Phone: (573) 884-7060
Type: Mailing
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
3916 S PROVIDENCE RD
COLUMBIA, MO 652037152
Phone: (573) 884-4400
Fax: (573) 884-5994
Type: Location
701 S NEW BALLAS RD STE 510
SAINT LOUIS, MO 631418726
Phone: (314) 251-6710
Fax: (314) 251-6712
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $93.
Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($59).
Total Amount
$93
General + Research + Ownership
Payments
5
Total payment records
General Amount
$93
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $59 |
| ERMI Inc. | $34 |
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: 2021-09-14
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 |
|---|---|---|---|---|
| I20210914003662 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,118 | 155 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 286 | 164 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 273 | 141 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 125 | 125 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 62 | 12 | $0 |
Insurance plans in this area (ZIP 65203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Physical Medicine And Rehabilitation | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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