TYLER D DULWORTH (M.D.) – Family Medicine Physician, NPI 1083237663

TYLER D DULWORTH (M.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 38333 (OK). The NPI Number for TYLER D DULWORTH (M.D.) is 1083237663

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TYLER D DULWORTH (M.D.)
NPI
1083237663
Phone
(918) 619-4400
Address
4444 E 41ST ST
Enumeration Date
18 May 2020
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4059123900
Graduation Year
2021 (5 years ago)
PAC ID
2860924040
Group Practice PAC ID
5496837718
Professional Enrollment ID
I20241011003984
Address ID
OK731702601OK2605XBXXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for TYLER D DULWORTH (M.D.)

  • 4444 E 41ST ST

    TULSA, OK 741352527

    Phone: (918) 619-4400

    Type: Location

  • 5731 E 22ND PL

    TULSA, OK 741142317

    Phone: (580) 467-1756

    Type: Mailing

  • 1111 S SAINT LOUIS AVE

    TULSA, OK 741205440

    Phone: (918) 619-4600

    Type: Location

  • PO BOX 1330

    NORMAN, OK 730701330

    Phone: (405) 307-1000

    Type: Mailing

  • 117 COTTON FIELD RD STE 101

    GOLDSBY, OK 730935050

    Phone: (405) 307-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($26).

Total Amount

$132

General + Research + Ownership

Payments

7

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2024-10-11

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
I20241011003984IFamily PracticeOKTBD

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 74135)

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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: 5496837718View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeOK
Nurse PractitionerTX
Family PracticeOK
Family PracticeCA
Physician AssistantOK
-OK
Family PracticeOK
Nurse PractitionerOK
Nurse PractitionerOK
Family PracticeOK

Reviews

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Frequently asked questions

Can I use this page to confirm TYLER D DULWORTH (M.D.)'s NPI?
Yes. TYLER D DULWORTH (M.D.) is listed with NPI 1083237663 in the public NPI dataset.
Is TYLER D DULWORTH (M.D.) still practicing?
TYLER D DULWORTH (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes TYLER D DULWORTH (M.D.)?
For research purposes, treat TYLER D DULWORTH (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is TYLER D DULWORTH (M.D.) based?
TYLER D DULWORTH (M.D.) is tied to Tulsa, Oklahoma in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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