TYLER AUSTIN MCKINNEY (DO) – Emergency Medicine Physician, NPI 1144802554

TYLER AUSTIN MCKINNEY (DO) is a healthcare provider. based in Lawton, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 7650 (OK). The NPI Number for TYLER AUSTIN MCKINNEY (DO) is 1144802554

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TYLER AUSTIN MCKINNEY (DO)
NPI
1144802554
Phone
Not provided
Address
3401 W GORE BLVD
Enumeration Date
25 April 2021
Last Update Date
21 December 2022

Doctor Profile

Medical School Name
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5802525300
Graduation Year
2021 (5 years ago)
PAC ID
0941685259
Group Practice PAC ID
1153853130
Professional Enrollment ID
I20230417001804
Address ID
OK735330911DU2621XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for TYLER AUSTIN MCKINNEY (DO)

  • 3401 W GORE BLVD

    LAWTON, OK 735056332

    Phone:

    Mailing address matches the actual address.

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: 2023-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230104002166IEmergency MedicineTXTBD
I20230417001804IEmergency MedicineOKTBD

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 73505)

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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: 1153853130View full group profile
NameSpecialtyState
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency Medicine, Family PracticeMO
Family PracticeOK
Emergency MedicineOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
Emergency MedicineOH

Reviews

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Frequently asked questions

Is there an official ID for TYLER AUSTIN MCKINNEY (DO) in U.S. healthcare records?
The official identifier for TYLER AUSTIN MCKINNEY (DO) is NPI 1144802554.
Is TYLER AUSTIN MCKINNEY (DO) shown as active in public data?
Registry records indicate TYLER AUSTIN MCKINNEY (DO) maintains an active NPI.
What clinical focus is listed for TYLER AUSTIN MCKINNEY (DO)?
At a glance, TYLER AUSTIN MCKINNEY (DO) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TYLER AUSTIN MCKINNEY (DO)?
Travel planning: use Lawton, Oklahoma as the reference point for TYLER AUSTIN MCKINNEY (DO), then confirm.
When was this NPI issued?
Enumeration for TYLER AUSTIN MCKINNEY (DO) is noted as April 25, 2021 where the registry provides it.

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