TYLER JAY VETTEL (M.D.) – Family Medicine Physician, NPI 1164869061

TYLER JAY VETTEL (M.D.) is a healthcare provider. based in Grand island, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 6954 (NE). The NPI Number for TYLER JAY VETTEL (M.D.) is 1164869061

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
TYLER JAY VETTEL (M.D.)
NPI
1164869061
Phone
(308) 381-0162
Address
2116 W FAIDLEY AVE
Enumeration Date
31 May 2013
Last Update Date
1 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
3083846400
Graduation Year
2013 (13 years ago)
PAC ID
9638468960
Group Practice PAC ID
8123021318
Professional Enrollment ID
I20160510001045
Address ID
NE688033909GR3610XCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160510001045IFamily PracticeNETBD

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
36415Insertion of needle into vein for collection of blood sample268108$0
99214Established patient office or other outpatient visit, 30-39 minutes15383$0
99213Established patient office or other outpatient visit, 20-29 minutes13496$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test12990$0
80053Blood test, comprehensive group of blood chemicals11590$0
View full utilization report →

Insurance plans in this area (ZIP 68803)

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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: 8123021318View full group profile
NameSpecialtyState
-NE
Family PracticeNE
Family PracticeNE
Family Practice, Obstetrics/GynecologyNE
-NE
Family PracticeNE
Nurse PractitionerNE
Physician AssistantNE
-NE
Physician AssistantNE

Reviews

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Frequently asked questions

Where can patients find TYLER JAY VETTEL (M.D.)'s NPI?
You can confirm TYLER JAY VETTEL (M.D.) with NPI 1164869061; it appears in the national provider directory.
Is TYLER JAY VETTEL (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does TYLER JAY VETTEL (M.D.) work in?
You can think of TYLER JAY VETTEL (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does TYLER JAY VETTEL (M.D.) practice in Nebraska?
You will see Grand Island, Nebraska on file for TYLER JAY VETTEL (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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