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DR. TYLER JOHN VARHOL DDS
NPI 1003203498
Dentist - Oral and Maxillofacial Surgery in New Brighton, MN

Active since April 23, 2015Opted out of Medicare · through Apr 14, 2028
550 COUNTY ROAD D W STE 12, NEW BRIGHTON, MN 55112(127) 889-2466 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tyler John Varhol Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYLER JOHN VARHOL DDS (NPI 1003203498) is an individual oral and maxillofacial surgery provider in New Brighton, Minnesota, licensed in Minnesota (13529) and active in the NPI registry since April 2015. He has opted out of Medicare through April 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003203498
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TYLER JOHN VARHOLCredential: DDS
Location Address550 COUNTY ROAD D W STE 12New Brighton, MN 55112-3517
Mailing Address550 County Road D W Ste 12New Brighton, MN 55112-3517 · (612) 788-9246
Phone(127) 889-2466
Sole ProprietorNo
Enumeration DateApril 23, 2015
Last NPPES UpdateOctober 3, 2019
✔ NPI 1003203498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MN · 13529
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
550 COUNTY ROAD D W STE 12, New Brighton, MN 55112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Tyler John Varhol Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 14, 2026 through April 14, 2028.

Opt-Out Effective DateApril 14, 2026
Opt-Out In Effect ThroughApril 14, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL MICHAEL THORSEN BUCK D.D.S., M.D.
Oral & Maxillofacial Surgery
550 COUNTY ROAD D W STE 12
NEW BRIGHTON, MN 55112
Ramsey County (612) 788-9246

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 Varhol's NPI number?

The NPI number for Tyler Varhol is 1003203498. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Tyler Varhol located?

Tyler Varhol practices at 550 County Road D W Ste 12, New Brighton, MN 55112. The listed phone number is (127) 889-2466.

What is Tyler Varhol's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tyler Varhol enrolled in Medicare?

No. Tyler Varhol has opted out of Medicare through April 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tyler Varhol accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Tyler Varhol as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Varhol was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.