DR. TYLER RYEN KJORVESTAD (M.D.) – Psychiatry Physician, NPI 1730541426

DR. TYLER RYEN KJORVESTAD (M.D.) is a healthcare provider. based in Belton, Missouri. specializing in PSYCHIATRY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 04-44798 (KS). The NPI Number for DR. TYLER RYEN KJORVESTAD (M.D.) is 1730541426

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYLER RYEN KJORVESTAD (M.D.)
NPI
1730541426
Phone
(417) 631-1459
Address
16006 Glenfinnan Way
Enumeration Date
22 March 2016
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
9135881227
Graduation Year
2016 (10 years ago)
PAC ID
2567759350
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20210921000423
Address ID
KS661600001KA4000XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

821 PSYCHIATRY in MO

Provider Addresses for DR. TYLER RYEN KJORVESTAD (M.D.)

  • 16006 Glenfinnan Way

    Belton, MO 640125502

    Phone: (417) 631-1459

    Type: Location

  • 2352, State Highway F, Niangua, Webster County, Missouri, 65713, United States

    NIANGUA, MO 657138405

    Phone: (417) 631-1459

    Type: Mailing

  • 4520-4526, Roanoke Parkway, West Plaza, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States

    KANSAS CITY, MO 641114237

    Phone: (417) 631-1459

    Type: Location

  • 3901 RAINBOW BLVD

    KANSAS CITY, KS 661608405

    Phone: (913) 588-1300

    Fax: (913) 588-1310

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Janssen Scientific Affairs, LLC ($148).

Total Amount

$148

General + Research + Ownership

Payments

2

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-26

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: 2021-09-21

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
I20210921000423IPsychiatryKSTBD

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
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or80921$0
99214Established patient office or other outpatient visit, 30-39 minutes402237$0
99215Established patient office or other outpatient visit, 40-54 minutes38832$0
90792Psychiatric diagnostic evaluation with medical services3232$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2715$0
View full utilization report →

Insurance plans in this area (ZIP 64012)

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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: 8921911587View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TYLER RYEN KJORVESTAD (M.D.)?
NPI 1730541426 is assigned to DR. TYLER RYEN KJORVESTAD (M.D.) under the national enumeration system.
Is DR. TYLER RYEN KJORVESTAD (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. TYLER RYEN KJORVESTAD (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. TYLER RYEN KJORVESTAD (M.D.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. TYLER RYEN KJORVESTAD (M.D.)?
The snapshot lists Belton, Missouri for DR. TYLER RYEN KJORVESTAD (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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