DR. NICHOLAS TYNER MD
NPI 1043692791
Emergency Medicine in Philadelphia, PA

Q: What is Nicholas Tyner's NPI number?

The NPI number for Nicholas Tyner is 1043692791. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Nicholas Tyner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Tyner was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment

76.7/100

CMS Quality Rating

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-5435 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Nicholas Tyner Md NPPES

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

DR. NICHOLAS TYNER MD (NPI 1043692791) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD463310) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Nazareth Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1043692791

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. NICHOLAS TYNERCredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address2424 Regatta CircleNorristown, PA 19401 · (858) 344-7208

Phone(215) 707-5435

Sole ProprietorYes

Medical School CMSDrexel University College Of MedicineGraduated 2015

Enumeration DateJune 18, 2015

Last NPPES UpdateNovember 5, 2024

NPPES CertifiedNovember 5, 2024

✔ NPI 1043692791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in PA · MD463310

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3401 N BROAD ST, Philadelphia, PA 19140

Open in Google Maps ↗

Secondary Practice Location 1

Location 12601 Holme AvePhiladelphia, PA 19152-2007 · Phone (215) 335-7705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.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

Dr. Nicholas Tyner Md 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 ID7911290721

PECOS Enrollment IDI20180626001618

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 Reassignments

Medicare enrollment records show Nicholas Tyner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Temple Faculty Practice Plan, Inc

Same address

Nephrology

3401 N BROAD ST
Philadelphia, PA 19140

Reassigned Medicare billing, Pennsylvania enrollment
1,991 clinicians in this Medicare group

NPI 1003398967 (215) 707-4600

Trinity Health Mid-Atlantic Medical Group

6.0 mi

Family Medicine

2813 COTTMAN AVE
Philadelphia, PA 19149

Reassigned Medicare billing, Pennsylvania enrollment
646 clinicians in this Medicare group

NPI 1336926963 (215) 335-6165

Cep America LLC

7.0 mi

Emergency Medicine

2601 HOLME AVE
Philadelphia, PA 19152

Reassigned Medicare billing, Pennsylvania enrollment
107 clinicians in this Medicare group

NPI 1902783251 (215) 335-6000

Emergency Physicians Of Falmouth

261 mi

Emergency Medicine

100 TER HEUN DR
Falmouth, MA 02540

Reassigned Medicare billing, Massachusetts enrollment
51 clinicians in this Medicare group

NPI 1376828988 (781) 280-1699

Urgi Center Medical Group

272 mi

Urgent Care

2 JAN SEBASTIAN DR, 100
Sandwich, MA 02563

Reassigned Medicare billing, Massachusetts enrollment
129 clinicians in this Medicare group

NPI 1902146798 (508) 833-2639

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 9

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

328 services315 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

118 services117 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services37 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

19 services19 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390204

Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

76.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

55.19

Promoting Interoperability

Improvement Activities

Cost

54.93

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. JAMIE L. GARFIELD MD

Internal Medicine