DR. TYLER JAMES WILLENBRINK (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1306367396

DR. TYLER JAMES WILLENBRINK (M.D.) is a healthcare provider. based in Austin, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. LL51189 (SC). The NPI Number for DR. TYLER JAMES WILLENBRINK (M.D.) is 1306367396

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYLER JAMES WILLENBRINK (M.D.)
NPI
1306367396
Phone
(513) 515-4795
Address
1400 N. I-35
Enumeration Date
29 June 2017
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
4123722277
Graduation Year
2017 (9 years ago)
PAC ID
3870867195
Group Practice PAC ID
4284622978
Professional Enrollment ID
I20220903000074
Address ID
PA151462836MO2790XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,287 DERMATOLOGY in TX

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Provider Addresses for DR. TYLER JAMES WILLENBRINK (M.D.)

  • I 35, Austin, Travis County, Texas, 78728, United States

    SUITE C2.470

    AUSTIN, TX 78701

    Phone: (513) 515-4795

    Type: Mailing

  • 575 COAL VALLEY RD STE 360

    CLAIRTON, PA 150253739

    Phone:

    Type: Mailing

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 $348.

Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Kerecis Limited ($128).

Total Amount

$348

General + Research + Ownership

Payments

7

Total payment records

General Amount

$348

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-09-03

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
I20220903000074IDermatologyPATBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks259205$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks13098$0
99213Established patient office or other outpatient visit, 20-29 minutes8982$0
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks8779$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm8574$0
View full utilization report →

Insurance plans in this area (ZIP 78701)

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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: 4284622978View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyCO
D E R M A T O L O G YPA
Nurse PractitionerPA
D E R M A T O L O G YPA
Nurse PractitionerPA
D E R M A T O L O G YCA
-PA
Physician AssistantDE
Physician AssistantPA
Physician AssistantNC

Reviews

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Frequently asked questions

Can I cross-check DR. TYLER JAMES WILLENBRINK (M.D.) using NPI 1306367396?
NPI 1306367396 belongs to DR. TYLER JAMES WILLENBRINK (M.D.); compare other details if you need extra assurance.
Would DR. TYLER JAMES WILLENBRINK (M.D.) appear as active to a payer?
You can treat DR. TYLER JAMES WILLENBRINK (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. TYLER JAMES WILLENBRINK (M.D.)?
DR. TYLER JAMES WILLENBRINK (M.D.)'s record emphasizes MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. TYLER JAMES WILLENBRINK (M.D.) located near Austin?
DR. TYLER JAMES WILLENBRINK (M.D.) currently maps to Austin, Texas in this extract.
Does DR. TYLER JAMES WILLENBRINK (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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