TYLER M NEITLICH (MD) – Diagnostic Radiology Physician, NPI 1144429317
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
Provider Addresses for TYLER M NEITLICH (MD)
100 E CAMPUS VIEW BLVD STE 100
COLUMBUS, OH 432358628
Phone: (614) 340-7740
Type: Location
2305 37th Ave SW
Minot, ND 587017669
Phone: (701) 857-5000
Type: Location
H. Lee Moffitt Cancer Center, 12902, USF Magnolia Drive, Tampa, Hillsborough County, Florida, 33612, United States
TAMPA, FL 33212
Phone: (813) 745-7487
Fax: (813) 745-6855
Type: Mailing
1 BURDICK EXPY W
MINOT, ND 587014406
Phone: (701) 857-5000
Type: Location
17310 WRIGHT ST STE 103
OMAHA, NE 681302405
Phone: (833) 228-6889
Fax: (877) 853-0376
Type: Mailing
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: 2021-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20200121000484 | I | Diagnostic Radiology | WI | TBD |
| I20200416002082 | I | Diagnostic Radiology | WA | TBD |
| I20200520001991 | I | Diagnostic Radiology | IA | TBD |
| I20210927000314 | I | Diagnostic Radiology | SC | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 240 | 236 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 163 | 162 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 119 | 119 | $0 |
| 71045 | X-ray of chest, 1 view | 115 | 113 | $0 |
| 71250 | Ct scan of chest without contrast | 113 | 111 | $0 |
Insurance plans in this area (ZIP 43235)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | OK | |
| - | OK | |
| - | MO | |
| P O D I A T R Y | VA | |
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| O P T O M E T R Y | OK |
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