TYLER BOLD
NPI 1063850543
Internal Medicine - Infectious Disease in Minneapolis, MN

Q: What is Tyler Bold's NPI number?

The NPI number for Tyler Bold is 1063850543. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Q: What is Tyler Bold's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Bold was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 06, 2013PECOS EnrolledAccepts Medicare Assignment

81.72/100

CMS Quality Rating

909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 672-7422 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Tyler Bold NPPES

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

TYLER BOLD (NPI 1063850543) is an individual infectious disease provider in Minneapolis, Minnesota, licensed in Minnesota (64452) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of New York University School Of Medicine (2013).

NPPES Registry Identity

NPI1063850543

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameTYLER BOLD

Location Address909 FULTON ST SEMinneapolis, MN 55455-4800

Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500

Phone(612) 672-7422

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 2013

Enumeration DateJune 6, 2013

Last NPPES UpdateSeptember 18, 2018

✔ NPI 1063850543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in MN · 64452✔ Licensed in MA · 265066

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 255586 (MA)

909 FULTON ST SE, Minneapolis, MN 55455

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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 Bold 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 ID9638494289

PECOS Enrollment IDI20181009003003

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.

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

81.72/100

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

Scored as part of a group practice

Quality

69.86

Promoting Interoperability

100

Improvement Activities

Cost

59.73

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. RONALD ALEXANDER REILKOFF M.D.

Internal Medicine (Pulmonary Disease)

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

EUGENIA SHMIDT MD

Internal Medicine (Gastroenterology)

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (507) 284-2511

DR. ROBERT ALLEN MCGOVERN III M.D.

Neurological Surgery

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

KIMBERLY EHLERT PHARMD, RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-5341

NUTTAVUT SUMRANSUB M.D.

Internal Medicine (Hematology & Oncology)

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC

Anesthesiology

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 273-8383

MARY MELTON PHD

Psychologist (Clinical)

909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

DR. BRITTANI LAUREN CONWAY M.D.

Psychiatry & Neurology (Neurology)

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (651) 226-2890

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 Bold's NPI number?

The NPI number for Tyler Bold is 1063850543. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Tyler Bold located?

Tyler Bold practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.

What is Tyler Bold's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Tyler Bold enrolled in Medicare?

Yes. Tyler Bold 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 Bold accept?

Health plans from Medica and Sanford Health Plan list Tyler Bold 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 Bold affiliated with any hospitals?

According to CMS data, Tyler Bold is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Tyler Bold was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.