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TYLER J CALLAHAN DO
NPI 1053608885
Family Medicine in New Castle, IN

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
1000 N 16TH ST, NEW CASTLE, IN 47362(765) 599-3177(765) 599-3176 Get Directions Write a Review

NPPES record last updated: February 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2023, Jun 4, 2021, Oct 29, 2020 and 3 more (6 updates tracked since 2016).

About Tyler J Callahan Do NPPES

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

TYLER J CALLAHAN DO (NPI 1053608885) is an individual family medicine provider in New Castle, Indiana, licensed in Illinois (036137237) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1053608885
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTYLER J CALLAHANCredential: DO
Location Address1000 N 16TH STNew Castle, IN 47362-4319
Mailing AddressPo Box 485New Castle, IN 47362-0485 · (765) 521-1516 · Fax (765) 599-3131
Phone(765) 599-3177
Fax(765) 599-3176
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 30, 2011
Last NPPES UpdateFebruary 12, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2023
✔ NPI 1053608885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036137237✔ Licensed in IN · 02004098A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 N 16TH ST, New Castle, IN 47362
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Other Identifiers 3

Other02004098AIN · Indiana License
Other201601361NC · License
Medicaid201068140IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler J Callahan Do 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 ID8224274782
PECOS Enrollment IDI20130429000522
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
336 services165 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
91 services87 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
65 services63 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
60 services58 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.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150030
Location1000 N 16th StNew Castle, IN 47362 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47362 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%61 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
63%195 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
39%341 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%392 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
54%112 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,011 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%5,299 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
71%394 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%612 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%1,297 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,297 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%1,297 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%1,297 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers45 claims46 services$17.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers44 claims45 services$102.73 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$38.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HENRY COUNTY PATHOLOGY SERVICES, PC
Pathology (Anatomic Pathology & Clinical Pathology)
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-1154
MRS. ANGELA SUE FORNKOHL BLUM M.D.
Pediatrics
1000 N 16TH ST, SUITE G-10
NEW CASTLE, IN 47362
Henry County (765) 521-0901
MATTHEW STEVEN HINSHAW PA-C
Physician Assistant (Medical)
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-0890
TRACY LYNN FROST OTA
Occupational Therapy Assistant
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-1449
MS. DEBORAH LYNN PERKINS NP
Nurse Practitioner (Adult Health)
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 599-3177
JENNIFER KAY SPRAKER PA
Physician Assistant
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-0890
DONALD JOSEPH MILLER DO
Pediatrics
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 599-3177
BROOKE RENAE ARTHUR
Nurse Practitioner (Family)
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-0890

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 Callahan's NPI number?

The NPI number for Tyler Callahan is 1053608885. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Tyler Callahan located?

Tyler Callahan practices at 1000 N 16th St, New Castle, IN 47362. The listed phone number is (765) 599-3177.

What is Tyler Callahan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tyler Callahan enrolled in Medicare?

Yes. Tyler Callahan 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.

What insurance does Tyler Callahan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tyler Callahan 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.

Is Tyler Callahan affiliated with any hospitals?

According to CMS data, Tyler Callahan is affiliated with Henry County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Callahan was last updated on February 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.