JOHN TYRRELL (DO) – Emergency Medicine Physician, NPI 1164441978

JOHN TYRRELL (DO) is a healthcare provider. based in Livingston, New Jersey. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 25MB04141800 (NJ). The NPI Number for JOHN TYRRELL (DO) is 1164441978

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JOHN TYRRELL (DO)
NPI
1164441978
Phone
(973) 740-0607
Address
PO BOX 717
Enumeration Date
19 July 2006
Last Update Date
16 May 2024

Doctor Profile

Medical School Name
COLLEGE OF PHYSICIANS AND SURGEONS (IOWA)
Secondary Phone
9086871900
Graduation Year
1981 (45 years ago)
PAC ID
1557333499
Group Practice PAC ID
0547334427
Professional Enrollment ID
I20040811000006
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JOHN TYRRELL (DO)

  • PO BOX 717

    LIVINGSTON, NJ 070390717

    Phone: (973) 740-0607

    Type: Mailing

  • 465 SOUTH ST STE 103

    MORRISTOWN, NJ 079606442

    Phone: (973) 695-4726

    Fax: (973) 290-7495

    Type: Mailing

  • 333 US HIGHWAY 46 STE 106

    MOUNTAIN LAKES, NJ 070461741

    Phone: (973) 939-6220

    Fax: (973) 263-0281

    Type: Location

  • Overlook Emergency Services – Union Campus, 1000, Galloping Hill Road, Roselle Park, Union, Union County, New Jersey, 07083, United States

    UNION HOSPITAL

    UNION, NJ 070837951

    Phone: (973) 687-1900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-11

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
I20040811000006IEmergency MedicineNJTBD

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 minutes7267$0
99213Established patient office or other outpatient visit, 20-29 minutes4342$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
81002Urinalysis, manual test1715$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 07039)

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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: 0547334427View full group profile
NameSpecialtyState
Physician AssistantNJ
-NJ
-PA
Emergency MedicineNY
Emergency MedicineMI
Emergency MedicineNJ
Physician AssistantNJ
Emergency MedicinePA
Emergency MedicineNJ
-NJ

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Frequently asked questions

What NPI should I save for JOHN TYRRELL (DO)?
Save NPI 1164441978 if you need a stable reference for JOHN TYRRELL (DO).
Is JOHN TYRRELL (DO) currently active in the NPI registry?
CMS-published data lists JOHN TYRRELL (DO) as an active registrant.
Can you summarize JOHN TYRRELL (DO)'s specialty in plain language?
Clinically, the directory lists JOHN TYRRELL (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN TYRRELL (DO)?
The page summarizes Livingston, New Jersey for JOHN TYRRELL (DO); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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