TYLER WILLIS (M.D.) – Hospitalist Physician, NPI 1134481914

TYLER WILLIS (M.D.) is a healthcare provider. based in Texarkana, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. P7726 (TX). The NPI Number for TYLER WILLIS (M.D.) is 1134481914

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TYLER WILLIS (M.D.)
NPI
1134481914
Phone
(903) 614-5111
Address
2600 SAINT MICHAEL DR STE 340
Enumeration Date
8 June 2012
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9035938441
Graduation Year
2012 (14 years ago)
PAC ID
5698086478
Group Practice PAC ID
6305295429
Professional Enrollment ID
I20150619001736
Address ID
TX757012036TY800XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for TYLER WILLIS (M.D.)

  • 2600 SAINT MICHAEL DR STE 340

    TEXARKANA, TX 755035220

    Phone: (903) 614-5111

    Type: Location

  • 800 E DAWSON ST

    TYLER, TX 757012036

    Phone: (903) 606-7264

    Type: Location

  • 2600 Saint Michael Dr Ste 340

    Texarkana, TX 755035220

    Phone: (903) 614-5111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2023-07-11 • Largest payer in this snapshot: Inari Medical, Inc. ($92).

Total Amount

$92

General + Research + Ownership

Payments

3

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$92
View all Open Payments →|Open Payments Risk Radar →

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: 2015-06-19

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
I20150619001736IFamily PracticeTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes352156$0
99239Hospital discharge day management, more than 30 minutes152150$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11369$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8888$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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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: 6305295429View full group profile
NameSpecialtyState
Nurse PractitionerTX
H O S P I T A L I S TNE
Hospitalist, GastroenterologyTX
Internal MedicineTX
Hospitalist, Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
H O S P I T A L I S TTX
Internal MedicineTX
Internal Medicine, HospitalistMN

Reviews

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Frequently asked questions

What unique ID ties claims to TYLER WILLIS (M.D.)?
NPI 1134481914 is assigned to TYLER WILLIS (M.D.) under the national enumeration system.
Does this profile mean TYLER WILLIS (M.D.) is currently active?
Yes — TYLER WILLIS (M.D.) appears active in the national provider directory.
What kind of provider is TYLER WILLIS (M.D.)?
The page reflects Hospitalist Physician for TYLER WILLIS (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for TYLER WILLIS (M.D.)?
We surface Texarkana, Texas for TYLER WILLIS (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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