DR. TYSON TERRY – Chiropractor, NPI 1255728291

DR. TYSON TERRY is a healthcare provider. based in Edgewood, Washington. specializing in CHIROPRACTIC. They hold a License No. CH 60542623 (WA). The NPI Number for DR. TYSON TERRY is 1255728291

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYSON TERRY
NPI
1255728291
Phone
(253) 202-0076
Address
11017 43RD STREET CT E
Enumeration Date
16 April 2015
Last Update Date
16 April 2015

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
2538450543
Graduation Year
2015 (11 years ago)
PAC ID
1658691076
Group Practice PAC ID
2567352099
Professional Enrollment ID
I20150526001225
Address ID
WA983723317PU615XXPION301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for DR. TYSON TERRY

  • 11017 43RD STREET CT E

    EDGEWOOD, WA 983722356

    Phone: (253) 202-0076

    Type: Mailing

  • 111 E STEWART AVE

    PUYALLUP, WA 983723008

    Phone: (253) 845-0543

    Fax: (253) 848-6788

    Type: Location

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: 2015-05-26

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
I20150526001225IChiropracticWATBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions50539$0
View full utilization report →

Insurance plans in this area (ZIP 98372)

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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: 2567352099View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

Is there an official ID for DR. TYSON TERRY in U.S. healthcare records?
The official identifier for DR. TYSON TERRY is NPI 1255728291.
Is DR. TYSON TERRY still an active registrant?
DR. TYSON TERRY carries an active NPI according to the public dataset.
What kind of doctor is DR. TYSON TERRY?
DR. TYSON TERRY is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is DR. TYSON TERRY registered?
Use Edgewood, Washington as the headline location for DR. TYSON TERRY here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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