TYLER DON HORTON DMD, MD
NPI 1104387117
Dentist - Oral and Maxillofacial Surgery in Raleigh, NC
About Tyler Don Horton Dmd, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER DON HORTON DMD, MD (NPI 1104387117) is an individual oral and maxillofacial surgery provider in Raleigh, North Carolina, licensed in South Carolina (97574) and active in the NPI registry since March 2019. He has opted out of Medicare through July 6, 2028 and remains eligible to order and refer and maintains a secondary practice location in Greenville.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tyler Don Horton Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 6, 2026 through July 6, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Horton's NPI number?
The NPI number for Tyler Horton is 1104387117. It was assigned to this individual provider in the NPPES registry on March 31, 2019.
Where is Tyler Horton located?
Tyler Horton practices at 1401 Sunday Dr Ste 109, Raleigh, NC 27607. The listed phone number is (541) 280-1590.
What is Tyler Horton's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Tyler Horton enrolled in Medicare?
No. Tyler Horton has opted out of Medicare through July 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Tyler Horton accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Tyler Horton 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.
When was this NPI record last updated?
The NPPES record for Tyler Horton was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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 Don Horton, DMD, MD · NPI 1104387117
Oral and Maxillofacial Surgery provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since March 31, 2019.
## Identity
- **NPI:** 1104387117 (Entity type: Individual)
- **Enumerated:** March 31, 2019
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 97574 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 SUNDAY DR STE 109, Raleigh, NC 27607-5173
- **Phone:** (541) 280-1590
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 6, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104387117) · Data from the CMS NPPES public registry.