DR. NICHOLAS TYNER (MD) – Emergency Medicine Physician, NPI 1043692791
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,391 EMERGENCY MEDICINE in PA
Provider Addresses for DR. NICHOLAS TYNER (MD)
2601 Holme Ave
Philadelphia, PA 191522007
Phone: (215) 335-7705
Type: Location
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Phone: (215) 707-5435
Type: Location
2424 REGATTA CIRCLE
NORRISTOWN, PA 19401
Phone: (858) 344-7208
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2024-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180626001618 | I | Emergency Medicine | PA | TBD |
| I20240408001608 | I | Emergency Medicine | MA | 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 19152)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | KS | |
| Physician Assistant | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Physician Assistant | MA | |
| Emergency Medicine | TX |
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.