TYLER J MILLHOUSE – Physician Assistant, NPI 1821762840
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
Provider Addresses for TYLER J MILLHOUSE
600 S 43RD ST
PHILADELPHIA, PA 191044418
Phone: (215) 596-8800
Type: Mailing
600 S 43rd St
Philadelphia, PA 191044418
Phone: (215) 596-8800
Type: Location
121 BECKS WOODS DR STE 200
BEAR, DE 197013852
Phone: (302) 834-7676
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $1,263.
Total Amount is formed as General ($1,263) + Research ($0) + Ownership ($0) = $1,263.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($342).
Total Amount
$1,263
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,263
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230221003243 | I | Physician Assistant | PA | TBD |
| I20231109001808 | I | Physician Assistant | DE | TBD |
| I20250423001704 | I | Physician Assistant | MD | 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 19104)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Internal Medicine | NJ | |
| Physician Assistant | PA | |
| - | PA | |
| - | NJ | |
| Nurse Practitioner | PA | |
| Cardiovascular Disease (Cardiology) | PA | |
| Nurse Practitioner | NJ | |
| Physician Assistant | PA |
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