TYLER LEE EVANS D.O.
NPI 1093078495
Anesthesiology in Augusta, GA
About Tyler Lee Evans D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER LEE EVANS D.O. (NPI 1093078495) is an individual anesthesiology provider in Augusta, Georgia, licensed in Georgia (6396) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Western University Of Health Sciences College Of Dental Med (2012).
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 and accepts Medicare assignment
Tyler Lee Evans D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Tyler Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84124
- Reassigned Medicare billing, Utah enrollment
- 59 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mark's Hospital
Acute Care Hospitals · Salt Lake City, UTMedicare 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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Evans's NPI number?
The NPI number for Tyler Evans is 1093078495. It was assigned to this individual provider in the NPPES registry on June 20, 2012.
Where is Tyler Evans located?
Tyler Evans practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-3871.
What is Tyler Evans's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Tyler Evans enrolled in Medicare?
Yes. Tyler Evans 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 Evans's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Evans reassigns Medicare benefits to Millcreek Anesthesia PC (Salt Lake City, UT). 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 Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tyler Evans affiliated with any hospitals?
According to CMS data, Tyler Evans is affiliated with St Mark's Hospital.
When was this NPI record last updated?
The NPPES record for Tyler Evans was last updated on March 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Tyler Lee Evans, D.O. · NPI 1093078495
Anesthesiology physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since June 20, 2012.
## Identity
- **NPI:** 1093078495 (Entity type: Individual)
- **Enumerated:** June 20, 2012
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 6396 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-0004
- **Phone:** (706) 721-3871
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Millcreek Anesthesia PC (NPI 1306879820, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western University Of Health Sciences College Of Dental Med, class of 2012
## Record status
- **NPPES last updated:** March 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1093078495) · Data from the CMS NPPES public registry.