TYLER GREENBERG (DO) – Emergency Medicine Physician, NPI 1053519017

TYLER GREENBERG (DO) is a healthcare provider. based in Dunmore, Pennsylvania. specializing in FAMILY PRACTICE, PERIPHERAL VASCULAR DISEASE. They hold the professional credentials DO. They hold a License No. 0S014120 (PA). The NPI Number for TYLER GREENBERG (DO) is 1053519017

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
TYLER GREENBERG (DO)
NPI
1053519017
Phone
Not provided
Address
PO BOX 319
Enumeration Date
10 July 2007
Last Update Date
10 July 2007

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
8437772000
Graduation Year
2002 (24 years ago)
PAC ID
3072604198
Group Practice PAC ID
7416851852
Professional Enrollment ID
I20150629002945
Address ID
SC295062617FL555XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for TYLER GREENBERG (DO)

  • PO BOX 319

    DUNMORE, PA 185120319

    Phone:

    Type: Mailing

  • Geisinger Community Medical Center, 1800, Mulberry Street, Scranton, Lackawanna County, Pennsylvania, 18510, United States

    SCRANTON, PA 185102369

    Phone: (570) 969-8128

    Type: Location

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: 2015-06-29

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
I20150629002945IFamily PracticeSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making278261$0
99284Emergency department visit with moderate level of medical decision making159158$0
99283Emergency department visit with low level of medical decision making6967$0
99291Critical care, first 30-74 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 18512)

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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: 7416851852View full group profile
NameSpecialtyState
Internal MedicineSC
-SC
-NY
Internal Medicine, GastroenterologyTX
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)SC
-SC
Physician AssistantSC
Emergency MedicineSC
Emergency MedicineNC
Pulmonary Disease, Internal MedicineSC

Reviews

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Frequently asked questions

What is the standard ID for TYLER GREENBERG (DO) in the U.S.?
In the U.S., TYLER GREENBERG (DO) is identified by NPI 1053519017.
Is TYLER GREENBERG (DO) currently accepting referrals based on NPI status?
Registry metadata lists TYLER GREENBERG (DO) as active.
What services align with TYLER GREENBERG (DO)'s listing?
TYLER GREENBERG (DO)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is TYLER GREENBERG (DO) tied to Dunmore, Pennsylvania?
If you are local to Dunmore, Pennsylvania, TYLER GREENBERG (DO) may be relevant to your search.
Who maintains TYLER GREENBERG (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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