TYLER RICHARD DAVIS – Family Nurse Practitioner, NPI 1346894409

TYLER RICHARD DAVIS is a healthcare provider. based in Saint george, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 9009540-4405 (UT). The NPI Number for TYLER RICHARD DAVIS is 1346894409

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
TYLER RICHARD DAVIS
NPI
1346894409
Phone
(435) 652-6024
Address
617 E RIVERSIDE DR STE 302
Enumeration Date
27 July 2019
Last Update Date
27 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356526024
Graduation Year
2019 (7 years ago)
PAC ID
8628406998
Group Practice PAC ID
0345476560
Professional Enrollment ID
I20200319002314
Address ID
UT847908722ST617XXDRXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for TYLER RICHARD DAVIS

  • 617 E RIVERSIDE DR STE 302

    SAINT GEORGE, UT 847908722

    Phone: (435) 652-6024

    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)

CMS reports 98 Open Payments records for all available years, with a total value of $2,824.

Total Amount is formed as General ($2,824) + Research ($0) + Ownership ($0) = $2,824.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($2,284).

Total Amount

$2,824

General + Research + Ownership

Payments

98

Total payment records

General Amount

$2,824

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-03-19

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
I20200319002314INurse PractitionerUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes259190$0
99204New patient office or other outpatient visit, 45-59 minutes8484$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment7749$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment4747$0
View full utilization report →

Insurance plans in this area (ZIP 84790)

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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: 0345476560View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Is there an official ID for TYLER RICHARD DAVIS in U.S. healthcare records?
The official identifier for TYLER RICHARD DAVIS is NPI 1346894409.
Is there an active status for TYLER RICHARD DAVIS?
For scheduling context, TYLER RICHARD DAVIS is shown as active in the registry.
What area of care is associated with TYLER RICHARD DAVIS?
TYLER RICHARD DAVIS's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TYLER RICHARD DAVIS associated with Saint George?
Public fields place TYLER RICHARD DAVIS around Saint George, Utah. Always confirm the exact site before visiting.
Does TYLER RICHARD DAVIS accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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