ROBERT HARRY TYSON (M.D.) – Pediatrics Physician, NPI 1023219607
Pediatrics Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ROBERT HARRY TYSON (M.D.)
121, Mahogany Bay Drive, Fruit Cove, St. Johns County, Florida, 32259, United States
SAINT JOHNS, FL 322596949
Phone: (904) 238-4660
Type: Mailing
66 KNIGHT LN STE 10
WILLISTON, VT 054959308
Phone: (802) 872-4329
Fax: (802) 288-1144
Type: Mailing
600 BLAIR PARK RD STE 285
WILLISTON, VT 054957586
Phone: (802) 288-1140
Fax: (802) 288-1144
Type: Mailing
11 CREST RD
SAINT ALBANS, VT 054789701
Phone: (802) 527-8189
Fax: (802) 527-8187
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: 2021-03-16
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 |
|---|---|---|---|---|
| I20210316002482 | I | Pediatric Medicine | VT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32259)
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