Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER RAY HEIMDAL MD
NPI 1104447143
Orthopaedic Surgery in Fort Worth, TX

Active since April 30, 2020PECOS Enrolled
1651 W ROSEDALE ST STE 200, FORT WORTH, TX 76104(817) 335-4316 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tyler Ray Heimdal Md NPPES

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

TYLER RAY HEIMDAL MD (NPI 1104447143) is an individual orthopaedic surgery provider in Fort Worth, Texas, licensed in Texas (W3270) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104447143
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTYLER RAY HEIMDALCredential: MD
Location Address1651 W ROSEDALE ST STE 200Fort Worth, TX 76104-7437
Mailing Address1651 W Rosedale St Ste 200Fort Worth, TX 76104-7437 · (817) 335-4316
Sole ProprietorNo
Enumeration DateApril 30, 2020
Last NPPES UpdateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
NPI 1104447143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · W3270
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1651 W ROSEDALE ST STE 200, Fort Worth, TX 76104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyler Ray Heimdal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Sports Medicine)
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Orthopaedic Surgery
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Physician Assistant
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Orthopaedic Surgery
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Nurse Practitioner
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104

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 Heimdal's NPI number?

The NPI number for Tyler Heimdal is 1104447143. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Tyler Heimdal located?

Tyler Heimdal practices at 1651 W Rosedale St Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 335-4316.

What is Tyler Heimdal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Tyler Heimdal enrolled in Medicare?

Yes. Tyler Heimdal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Heimdal was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.