TYLER KOEHN (MD) – Neurology Physician, NPI 1588084800

TYLER KOEHN (MD) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in HOSPITALIST, HOSPITALIST, NEUROLOGY. They hold the professional credentials MD. They hold a License No. ME176000 (FL). The NPI Number for TYLER KOEHN (MD) is 1588084800

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
TYLER KOEHN (MD)
NPI
1588084800
Phone
(210) 539-9582
Address
3551 ROGER BROOKE DR
Enumeration Date
25 April 2014
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2707065275
Graduation Year
2014 (12 years ago)
PAC ID
9234405101
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20251216002581
Address ID
KY427012503EL913XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:12State licenses:3Digital endpointsOther names

2,297 HOSPITALIST in TX

Provider Addresses for TYLER KOEHN (MD)

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 539-9582

    Type: Location

  • 9981 S Healthpark Dr

    Fort Myers, FL 339083618

    Phone: (239) 208-2206

    Fax: (239) 343-3994

    Type: Location

  • 2790 Clay Edwards Dr Ste 1235

    North Kansas City, MO 641163276

    Phone: (816) 472-5157

    Fax: (816) 472-7201

    Type: Location

  • 11215 Metro Pkwy Ste 1

    Fort Myers, FL 339661206

    Phone: (239) 208-2212

    Fax: (239) 208-3994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-04-26 • Largest payer in this snapshot: ABBVIE INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$13
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: 2025-12-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 10 Medicare enrollment records; no due dates published yet.

Enrollment records

10

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
I20250603002040INeurologySCTBD
I20250610000257INeurologyNHTBD
I20250710003396INeurologyTXTBD
I20250714002257INeurologyNDTBD
I20250918004310INeurologyFLTBD
I20250919002975INeurologyGATBD
I20251013003742INeurologyNYTBD
I20251114000538INeurologyOHTBD
I20251119000544INeurologyMOTBD
I20251216002581INeurologyKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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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: 5597867184View full group profile
NameSpecialtyState
Physician AssistantKY
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
Hematology/Oncology, Internal MedicineKY
-FL
-KY

Reviews

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Frequently asked questions

How do payers reference TYLER KOEHN (MD)?
For TYLER KOEHN (MD), use NPI 1588084800 as the unique 10-digit identifier.
Is TYLER KOEHN (MD) shown as active in public data?
Registry records indicate TYLER KOEHN (MD) maintains an active NPI.
How would a patient describe TYLER KOEHN (MD)'s focus?
For TYLER KOEHN (MD), the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TYLER KOEHN (MD)?
Travel planning: use Jbsa Ft Sam Houston, Texas as the reference point for TYLER KOEHN (MD), then confirm.
Can I trust this NPI listing for TYLER KOEHN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.