TYLER JAY VETTEL (M.D.) – Family Medicine Physician, NPI 1164869061
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
Provider Addresses for TYLER JAY VETTEL (M.D.)
2116 W FAIDLEY AVE
STE 400
GRAND ISLAND, NE 688034678
Phone: (308) 381-0162
Type: Mailing
PO BOX 9802
GRAND ISLAND, NE 688029802
Phone: (308) 381-0162
Fax: (308) 389-4445
Type: Mailing
3563 PRAIRIEVIEW ST STE 300
GRAND ISLAND, NE 688034442
Phone: (308) 381-0162
Fax: (308) 389-4445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $414.
Total Amount is formed as General ($414) + Research ($0) + Ownership ($0) = $414.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novo Nordisk Inc ($107).
Total Amount
$414
General + Research + Ownership
Payments
24
Total payment records
General Amount
$414
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $107 |
| Otsuka America Pharmaceutical, Inc. | $88 |
| ABBVIE INC. | $62 |
| Exact Sciences Corporation | $59 |
| Dexcom, Inc. | $22 |
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: 2016-05-10
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 |
|---|---|---|---|---|
| I20160510001045 | I | Family Practice | NE | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 268 | 108 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 134 | 96 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 129 | 90 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 115 | 90 | $0 |
Insurance plans in this area (ZIP 68803)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Family Practice | NE | |
| Family Practice | NE | |
| Family Practice, Obstetrics/Gynecology | NE | |
| - | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Physician Assistant | NE |
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