LEO C TYNAN (MD) – Internal Medicine Physician, NPI 1811937303

LEO C TYNAN (MD) is a healthcare provider. based in Fredericksburg, Texas. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. H0895 (TX). The NPI Number for LEO C TYNAN (MD) is 1811937303

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
LEO C TYNAN (MD)
NPI
1811937303
Phone
(830) 997-2181
Address
1308 SOUTH HIGHWAY 16
Enumeration Date
7 June 2006
Last Update Date
4 April 2011

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8309972181
Graduation Year
1985 (41 years ago)
PAC ID
4183767965
Group Practice PAC ID
3375515992
Professional Enrollment ID
I20100202000207
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LEO C TYNAN (MD)

  • Fredericksburg, Fredericksburg City, Virginia, United States

    FREDERICKSBURG, TX 786245058

    Phone: (830) 997-2181

    Fax: (830) 997-9598

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-02-02

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
I20100202000207IInternal MedicineTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes418155$0
36415Insertion of needle into vein for collection of blood sample402174$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count362171$0
80053Blood test, comprehensive group of blood chemicals342163$0
99215Established patient office or other outpatient visit, 40-54 minutes172150$0
View full utilization report →

Insurance plans in this area (ZIP 78624)

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Provider's Procedures

LEO C TYNAN (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX90670Pneumococcal vaccine for injection into muscle3131

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: 3375515992View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Internal MedicineTX
-TX
Family PracticeTX
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to LEO C TYNAN (MD)?
NPI 1811937303 is assigned to LEO C TYNAN (MD) under the national enumeration system.
Is LEO C TYNAN (MD)'s NPI currently valid?
The extract we use shows LEO C TYNAN (MD) as active.
What kind of provider is LEO C TYNAN (MD)?
The page reflects Internal Medicine Physician for LEO C TYNAN (MD). Clinical services aligned with this taxonomy classification.
Does LEO C TYNAN (MD) practice in Texas?
You will see Fredericksburg, Texas on file for LEO C TYNAN (MD) alongside any extra practice locations.
How can I contact LEO C TYNAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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