GEOFFREY LOUIS TYSON (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1679610778

GEOFFREY LOUIS TYSON (M.D.) is a healthcare provider. based in Mountlake terrace, Washington. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. MD00021183 (WA). The NPI Number for GEOFFREY LOUIS TYSON (M.D.) is 1679610778

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
GEOFFREY LOUIS TYSON (M.D.)
NPI
1679610778
Phone
(360) 839-6778
Address
6808 220TH ST SW STE 201
Enumeration Date
30 January 2007
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3607520518
Graduation Year
1982 (44 years ago)
PAC ID
1456318732
Group Practice PAC ID
0941565162
Professional Enrollment ID
I20041217000844
Address ID
WA982269077BE4029XAVEX311
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,514 ANESTHESIOLOGY in WA

Provider Addresses for GEOFFREY LOUIS TYSON (M.D.)

  • 6808 220TH ST SW STE 201

    MOUNTLAKE TERRACE, WA 980432187

    Phone: (360) 839-6778

    Type: Mailing

  • Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States

    SUITE 901

    SEATTLE, WA 981041172

    Phone: (206) 264-8100

    Type: Mailing

  • 6808, 220th Street Southwest, Mountlake Terrace, Snohomish County, Washington, 98043, United States

    SUITE 201

    MOUNTLAKE TERRACE, WA 980432187

    Phone: (425) 640-6976

    Fax: (425) 640-6977

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $8,337.

Total Amount is formed as General ($8,337) + Research ($0) + Ownership ($0) = $8,337.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boston Scientific Corporation ($2,592).

Total Amount

$8,337

General + Research + Ownership

Payments

117

Total payment records

General Amount

$8,337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2004-12-17

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
I20041217000844IAnesthesiologyWATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg92044$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg29632$0
99214Established patient office or other outpatient visit, 30-39 minutes29695$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml11253$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level6645$0
View full utilization report →

Insurance plans in this area (ZIP 98043)

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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: 0941565162View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyWA
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Interventional Pain Management, Pain ManagementWA
Physical Therapist In Private PracticeOR
Physician AssistantWA
Physician AssistantWA
Pain Management, AnesthesiologyWA
Physician AssistantOR

Reviews

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Frequently asked questions

Where can patients find GEOFFREY LOUIS TYSON (M.D.)'s NPI?
You can confirm GEOFFREY LOUIS TYSON (M.D.) with NPI 1679610778; it appears in the national provider directory.
Does this profile mean GEOFFREY LOUIS TYSON (M.D.) is currently active?
Yes — GEOFFREY LOUIS TYSON (M.D.) appears active in the national provider directory.
What does GEOFFREY LOUIS TYSON (M.D.) treat or focus on?
Patients typically see GEOFFREY LOUIS TYSON (M.D.) under the specialty Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where is GEOFFREY LOUIS TYSON (M.D.)'s primary listing?
We display Mountlake Terrace, Washington because that is what the record indicates for GEOFFREY LOUIS TYSON (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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