DR. TYRELL MARK YARDLEY (OD) – Optometrist, NPI 1578269767

DR. TYRELL MARK YARDLEY (OD) is a healthcare provider. based in Ogden, Utah. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 13234243-9934 (UT). The NPI Number for DR. TYRELL MARK YARDLEY (OD) is 1578269767

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYRELL MARK YARDLEY (OD)
NPI
1578269767
Phone
(801) 476-0494
Address
4360 WASHINGTON BLVD
Enumeration Date
31 January 2023
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352398756
Graduation Year
2022 (4 years ago)
PAC ID
7810360617
Group Practice PAC ID
2264743210
Professional Enrollment ID
I20230225000356
Address ID
UT843026727PE2480X89XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

Provider Addresses for DR. TYRELL MARK YARDLEY (OD)

  • 4360 WASHINGTON BLVD

    OGDEN, UT 844031866

    Phone: (801) 476-0494

    Fax: (801) 479-3937

    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 12 Open Payments records for all available years, with a total value of $325.

Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($71).

Total Amount

$325

General + Research + Ownership

Payments

12

Total payment records

General Amount

$325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2024-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230225000356IOptometryUTTBD
I20240409002161IOptometryIDTBD

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
92014Established patient complete exam of visual system5351$0
99213Established patient office or other outpatient visit, 20-29 minutes5047$0
92004New patient complete exam of visual system3737$0
99212Established patient office or other outpatient visit, 10-19 minutes1919$0
92012Established patient problem focused exam of visual system1312$0
View full utilization report →

Insurance plans in this area (ZIP 84403)

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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: 2264743210View full group profile
NameSpecialtyState
O P T O M E T R YUT
O P T O M E T R YUT

Reviews

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Frequently asked questions

Does DR. TYRELL MARK YARDLEY (OD) have a public NPI I can cite?
Public records show DR. TYRELL MARK YARDLEY (OD) under NPI 1578269767.
Does the public listing show DR. TYRELL MARK YARDLEY (OD) as active?
DR. TYRELL MARK YARDLEY (OD)'s NPI record reflects an active status in NPPES.
What services align with DR. TYRELL MARK YARDLEY (OD)'s listing?
DR. TYRELL MARK YARDLEY (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TYRELL MARK YARDLEY (OD)?
DR. TYRELL MARK YARDLEY (OD) shows a connection to Ogden, Utah in registry-derived data.
Can I export DR. TYRELL MARK YARDLEY (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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