TYLER BOSCHUETZ (MD) – Obstetrics & Gynecology Physician, NPI 1063809416

TYLER BOSCHUETZ (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 70583 (WI). The NPI Number for TYLER BOSCHUETZ (MD) is 1063809416

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TYLER BOSCHUETZ (MD)
NPI
1063809416
Phone
Not provided
Address
231 ALBERT SABIN WAY
Enumeration Date
23 April 2015
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6082277007
Graduation Year
2015 (11 years ago)
PAC ID
8729391040
Group Practice PAC ID
2062479280
Professional Enrollment ID
I20190606002320
Address ID
WI537115807FI2955XRDXX400

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
tboschuetz482058@direct-ehr-ssmhc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

798 OBSTETRICS/GYNECOLOGY in WI

Provider Addresses for TYLER BOSCHUETZ (MD)

  • 231 ALBERT SABIN WAY

    CINCINNATI, OH 452672827

    Phone:

    Type: Mailing

  • 19475 W NORTH AVE STE 400

    BROOKFIELD, WI 530454199

    Phone: (262) 780-4000

    Type: Location

  • 3200 E RACINE ST

    JANESVILLE, WI 535462343

    Phone: (608) 371-8000

    Fax: (608) 371-8927

    Type: Location

  • 231 Albert Sabin Way

    Cincinnati, OH 452672827

    Phone: (513) 584-8239

    Type: Location

  • 19475 W North Ave Ste 400

    Brookfield, WI 530454199

    Phone: (262) 780-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $4,116.

Total Amount is formed as General ($4,116) + Research ($0) + Ownership ($0) = $4,116.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,000).

Total Amount

$4,116

General + Research + Ownership

Payments

3

Total payment records

General Amount

$4,116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$3,000
GE HEALTHCARE$1,116
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: 2019-06-06

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
I20190606002320IObstetrics/GynecologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45267)

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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: 2062479280View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YWI
Certified Nurse Midwife (Cnm)WI
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YCO
-WI
Certified Nurse Midwife (Cnm)WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI

Reviews

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Frequently asked questions

Does TYLER BOSCHUETZ (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TYLER BOSCHUETZ (MD) uses 1063809416.
Is TYLER BOSCHUETZ (MD) still practicing?
TYLER BOSCHUETZ (MD) is currently listed as active in the public NPI registry.
What is TYLER BOSCHUETZ (MD) best known for clinically?
Directory data describes TYLER BOSCHUETZ (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does TYLER BOSCHUETZ (MD) list a practice location?
Patients near Cincinnati, Ohio may find TYLER BOSCHUETZ (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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