TYLER CHRISTIAN PEDERSEN M.D.
NPI 1003034828
Emergency Medicine in Spokane, WA
About Tyler Christian Pedersen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER CHRISTIAN PEDERSEN M.D. (NPI 1003034828) is an individual emergency medicine provider in Spokane, Washington, licensed in Washington (60203738) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Providence Holy Family Hospital, and is a graduate of University Of Nevada School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tyler Christian Pedersen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Tyler Pedersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spokane, WA 99208
- Reassigned Medicare billing, Washington enrollment
- 278 clinicians in this Medicare group
Spokane, WA 99208
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Emergency Physician Services P S Holy Emergency Center
- 25 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Holy Family Hospital
Acute Care Hospitals · Spokane, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPOKANE, WA 99208
SPOKANE, WA 99208
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyler Pedersen's NPI number?
The NPI number for Tyler Pedersen is 1003034828. It was assigned to this individual provider in the NPPES registry on April 24, 2007.
Where is Tyler Pedersen located?
Tyler Pedersen practices at 5901 N Lidgerwood St Ste 126, Spokane, WA 99208. The listed phone number is (509) 444-8200.
What is Tyler Pedersen's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tyler Pedersen enrolled in Medicare?
Yes. Tyler Pedersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tyler Pedersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Pedersen reassigns Medicare benefits to 3 organizations: Community Health Association Of Spokane (Spokane, WA), Emergency Physician Services Ps Holy Emergency Center (Spokane, WA) and Washington Emergency Physician Partners, PLLC (Spokane, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Pedersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tyler Pedersen affiliated with any hospitals?
According to CMS data, Tyler Pedersen is affiliated with Providence Holy Family Hospital.
When was this NPI record last updated?
The NPPES record for Tyler Pedersen was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tyler Christian Pedersen, M.D. · NPI 1003034828
Emergency Medicine physician in Spokane, Washington. Individual provider, active in the CMS NPPES registry since April 24, 2007.
## Identity
- **NPI:** 1003034828 (Entity type: Individual)
- **Enumerated:** April 24, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 60203738 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 5901 N LIDGERWOOD ST STE 126, Spokane, WA 99208-1122
- **Phone:** (509) 444-8200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Health Association Of Spokane (NPI 1598976409, Spokane, WA); Emergency Physician Services Ps Holy Emergency Center (NPI 1336445634, Spokane, WA); Washington Emergency Physician Partners, PLLC (NPI 1598162844, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nevada School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** June 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003034828) · Data from the CMS NPPES public registry.