TYLER J. ELAM D.O.
NPI 1144646209
Family Medicine in Grayson, KY

Q: What is Tyler Elam's NPI number?

The NPI number for Tyler Elam is 1144646209. It was assigned to this individual provider in the NPPES registry on March 13, 2014.

Q: What is Tyler Elam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Elam was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 13, 2014PECOS EnrolledAccepts Medicare Assignment

645 INTERSTATE DR, GRAYSON, KY 41143(606) 474-0669(606) 474-0376 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Feb 28, 2022, Jan 8, 2019 and 2 more (5 updates tracked since 2017).

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About Tyler J. Elam D.o. NPPES

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

TYLER J. ELAM D.O. (NPI 1144646209) is an individual family medicine provider in Grayson, Kentucky, licensed in Kentucky (04118) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144646209

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTYLER J. ELAMCredential: D.O.

Location Address645 INTERSTATE DRGrayson, KY 41143-1704

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 744-1177

Phone(606) 474-0669

Fax(606) 474-0376

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 13, 2014

Last NPPES UpdateSeptember 24, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1144646209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 04118

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

645 INTERSTATE DR, Grayson, KY 41143

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Secondary Practice Locations 2

Location 11850 Bypass RdWinchester, KY 40391-2300 · Phone (859) 744-5111 · Fax (859) 744-1177

Location 2255 Old Viking DrMorehead, KY 40351-7579 · Phone (606) 784-2774 · Fax (606) 780-1118

Other Identifiers 3

OtherK247850KY · Medicare Mms

Other04118KY · State Medical License

Medicaid7100472630KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 J. Elam 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.

PECOS PAC ID1557665437

PECOS Enrollment IDI20170822003385

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 3

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY

3/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number180018

Location222 Medical CircleMorehead, KY 40351 · Rowan County

Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180143

Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41143 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$21.31 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$119.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

MRS. SHELBY ANNE HILL APRN

Nurse Practitioner (Psychiatric/Mental Health)