DR. TYLER VACHON MD
NPI 1083777460
Radiology - Diagnostic Radiology in Manteca, CA
About Dr. Tyler Vachon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER VACHON MD (NPI 1083777460) is an individual diagnostic radiology provider in Manteca, California, licensed in California (A151542) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tyler Vachon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Tyler Vachon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manteca, CA 95337
- Reassigned Medicare billing, California enrollment
- 47 clinicians in this Medicare group
Manteca, CA 95336
- Reassigned Medicare billing, California enrollment
- 534 clinicians in this Medicare group
French Camp, CA 95231
- Reassigned Medicare billing, California enrollment
- 512 clinicians in this Medicare group
Stockton, CA 95203
- Reassigned Medicare billing, California enrollment
- 678 clinicians in this Medicare group
Stockton, CA 95219
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
Houston, TX 77002
- Reassigned Medicare billing, California enrollment
- 244 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MANTECA, CA 95337
MANTECA, CA 95337
MANTECA, CA 95337
MANTECA, CA 95337
MANTECA, CA 95337
MANTECA, CA 95337
MANTECA, CA 95337
MANTECA, CA 95337
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 Vachon's NPI number?
The NPI number for Tyler Vachon is 1083777460. It was assigned to this individual provider in the NPPES registry on December 18, 2006.
Where is Tyler Vachon located?
Tyler Vachon practices at 250 Cherry Ln Ste 116, Manteca, CA 95337. The listed phone number is (209) 647-2184.
What is Tyler Vachon's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Tyler Vachon enrolled in Medicare?
Yes. Tyler Vachon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tyler Vachon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Vachon reassigns Medicare benefits to 6 organizations: Central Valley Imaging Medical Associates, Inc (Manteca, CA), County Of San Joaquin (Manteca, CA), San Joaquin Faculty Medical Group (French Camp, CA), Adventist Health Physicians Network (Stockton, CA), Lodi Memorial Hospital Association, Inc (Stockton, CA) and 1 more organization, listed in the Medicare section above. Each 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 Vachon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tyler Vachon was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Dr. Tyler Vachon, MD · NPI 1083777460
Diagnostic Radiology physician in Manteca, California. Individual provider, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1083777460 (Entity type: Individual)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A151542 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 250 CHERRY LN STE 116, Manteca, CA 95337-4398
- **Phone:** (209) 647-2184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Central Valley Imaging Medical Associates, Inc (NPI 1275523169, Manteca, CA); County Of San Joaquin (NPI 1417407636, Manteca, CA); San Joaquin Faculty Medical Group (NPI 1225063761, French Camp, CA); Adventist Health Physicians Network (NPI 1811730856, Stockton, CA); Lodi Memorial Hospital Association, Inc (NPI 1982860995, Stockton, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083777460) · Data from the CMS NPPES public registry.