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TYLER JAY STALEY M.D.
NPI 1013189877
Physical Medicine & Rehabilitation - Sports Medicine in Daytona Beach, FL

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 238-3290(386) 238-3278 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tyler Jay Staley M.d. NPPES

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

TYLER JAY STALEY M.D. (NPI 1013189877) is an individual sports medicine provider in Daytona Beach, Florida, licensed in Florida (112139) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1013189877
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameTYLER JAY STALEYCredential: M.D.
Location Address350 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2733
Mailing AddressPo Box 9671Daytona Beach, FL 32120-9671 · (386) 676-7130 · Fax (386) 676-7125
Phone(386) 238-3290
Fax(386) 238-3278
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 1, 2008
Last NPPES UpdateJuly 11, 2013
✔ NPI 1013189877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in FL · 112139
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 44335 (KY)
350 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
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Other Identifiers 4

Other1013189877FL · Tricare
Other14MV1FL · Bcbs
Medicaid007276600FL
Medicare PINGV273ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans.Insurance ›

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 Jay Staley 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.

PECOS PAC ID446403299
PECOS Enrollment IDI20130104000156
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Staley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Health Care Plan, Inc
2.0 mi
Preferred Provider Organization
2450 MASON AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1558302042 (386) 615-4021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ANNEMARIE ETIENNE MD
Ophthalmology
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 676-7103
DR. MARY JUNE DERBENWICK M.D.
Psychiatry & Neurology (Vascular Neurology)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 238-3244
MR. MARK A MILLER RPH
Pharmacist
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 248-0832
TODD GEIS MD
Ophthalmology
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 676-7103
MRS. JENNIFER LEE VON STROH BSHS, MSN, FNP-BC
Nurse Practitioner (Family)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 238-3200
JOHN EMIL CALIENDO MD
Psychiatry & Neurology (Psychiatry)
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 676-7175
DR. ELIZABETH ANN LE M.D.
Family Medicine
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 238-3221
DENISE CORAL DANIEL MD, MPH
General Practice
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 238-3221

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 Staley's NPI number?

The NPI number for Tyler Staley is 1013189877. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Tyler Staley located?

Tyler Staley practices at 350 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 238-3290.

What is Tyler Staley's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Tyler Staley enrolled in Medicare?

Yes. Tyler Staley 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 organization bills Medicare for Tyler Staley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Staley reassigns Medicare benefits to Florida Health Care Plan, Inc (Daytona Beach, FL). The 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 Staley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Staley accept?

Health plans from Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Tyler Staley 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 Staley was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.