DR. TYLER YATES (MD) – Pediatric Allergy/Immunology Physician, NPI 1649699711
Pediatric Allergy/Immunology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
45 ALLERGY/IMMUNOLOGY in OR
Provider Addresses for DR. TYLER YATES (MD)
3181 SW Sam Jackson Park Rd
Portland, OR 972393011
Phone: (503) 418-5747
Fax: (503) 494-4953
Type: Location
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 418-5747
Fax: (503) 494-4953
Type: Mailing
PO BOX 917770
ORLANDO, FL 328910001
Phone: (813) 821-8038
Type: Mailing
601 5th St S
Saint Petersburg, FL 337014804
Phone: (727) 828-6390
Type: Location
PO BOX 100296
GAINESVILLE, FL 326100296
Phone: (352) 627-9350
Type: Mailing
1600 SW ARCHER RD FL 4
GAINESVILLE, FL 326103003
Phone: (352) 265-8250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-07-20 • Largest payer in this snapshot: Grifols USA, LLC ($167).
Total Amount
$167
General + Research + Ownership
Payments
1
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Grifols USA, LLC | $167 |
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: 2025-03-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250328002631 | I | Allergy/Immunology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97239)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.