TYLER F WINES (MD) – Sports Medicine (Family Medicine) Physician, NPI 1619531175
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
188 SPORTS MEDICINE in WA
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Provider Addresses for TYLER F WINES (MD)
Wheaton Way, Bremerton, Kitsap County, Washington, 98310-3604, United States
BREMERTON, WA 983103303
Phone: (360) 782-5826
Fax: (360) 782-5899
Type: Mailing
PO BOX 268838
OKLAHOMA CITY, OK 731268838
Phone: (918) 619-4639
Fax: (918) 619-4662
Type: Mailing
1111 S SAINT LOUIS AVE
TULSA, OK 741205440
Phone: (918) 619-4400
Fax: (918) 619-4662
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: 2023-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231206001933 | I | Sports Medicine | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 98310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| P S Y C H I A T R Y | OK | |
| - | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nephrology, Internal Medicine | OK | |
| Clinical Psychologist | OK | |
| - | OK | |
| Internal Medicine | OK | |
| - | OK | |
| - | OK |
Reviews
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