DR. TYLER G GUNDERSON (M.D.) – Orthopaedic Surgery Physician, NPI 1477765014
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
739 ORTHOPEDIC SURGERY in TN
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Provider Addresses for DR. TYLER G GUNDERSON (M.D.)
Brown Avenue, Grassland Addition, Crossville, Cumberland County, East Tennessee, Tennessee, 38555, United States
CROSSVILLE, TN 385557740
Phone: (931) 484-8861
Fax: (865) 374-2116
Type: Mailing
215 E. 1st Street
Suite 305
Dixon, IL 610210000
Phone: (815) 285-5800
Fax: (815) 285-5691
Type: Location
118 Brown Ave Ste 103
Crossville, TN 38555
Phone: (931) 484-8861
Fax: (865) 374-2116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $874.
Total Amount is formed as General ($874) + Research ($0) + Ownership ($0) = $874.
Last reported payment date: 2024-03-22 • Largest payer in this snapshot: Catalyst OrthoScience ($853).
Total Amount
$874
General + Research + Ownership
Payments
7
Total payment records
General Amount
$874
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Catalyst OrthoScience | $853 |
| ORTHO DEVELOPMENT CORPORATION | $22 |
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: 2018-08-28
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 |
|---|---|---|---|---|
| I20180828002056 | I | Orthopedic Surgery | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,476 | 97 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 349 | 219 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 251 | 166 | $0 |
| 73502 | X-ray of hip, 2-3 views | 153 | 93 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 146 | 80 | $0 |
Insurance plans in this area (ZIP 38555)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IL | 27447 | Repair of knee joint | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN |
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