DR. TYLER RICHARD CHISHOLM M.D.
NPI 1154659795
Family Medicine in Federal Way, WA

Active since November 19, 2009PECOS EnrolledAccepts Medicare Assignment
301 S 320TH ST, FEDERAL WAY, WA 98003(253) 874-7000(253) 874-7557 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, May 11, 2020 (2 updates tracked since 2020).

About Dr. Tyler Richard Chisholm M.d. NPPES

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

DR. TYLER RICHARD CHISHOLM M.D. (NPI 1154659795) is an individual family medicine provider in Federal Way, Washington, licensed in Washington (60302505) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Yakima, and is a graduate of University Of Washington School Of Medicine (2009).

NPPES Registry Identity

NPI1154659795
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TYLER RICHARD CHISHOLMCredential: M.D.
Location Address301 S 320TH STFederal Way, WA 98003-5200
Mailing Address301 S 320th StFederal Way, WA 98003-5200 · (253) 874-7958
Fax(253) 874-7557
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2009
Enumeration DateNovember 19, 2009
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1154659795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · 60302505
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.
301 S 320TH ST, Federal Way, WA 98003

Secondary Practice Location 1

Location 1602 E Nob Hill BlvdYakima, WA 98901-3534 · Phone (509) 248-3334

Accepted 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

Dr. Tyler Richard Chisholm M.d. 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 ID42461105
PECOS Enrollment IDI20121119000488
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 98003 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

Pediatrics
301 S 320TH ST
FEDERAL WAY, WA 98003
Physical Therapist
301 S 320TH ST
FEDERAL WAY, WA 98003
Family Medicine
301 S 320TH ST
FEDERAL WAY, WA 98003
Case Manager/Care Coordinator
301 S 320TH ST
FEDERAL WAY, WA 98003
Optometrist
301 S 320TH ST
FEDERAL WAY, WA 98003
Clinic/Center
301 S 320TH ST
FEDERAL WAY, WA 98003
Optometrist
301 S 320TH ST
FEDERAL WAY, WA 98003
Pharmacist
301 S 320TH ST
FEDERAL WAY, WA 98003

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 Chisholm's NPI number?

The NPI number for Tyler Chisholm is 1154659795. It was assigned to this individual provider in the NPPES registry on November 19, 2009.

Where is Tyler Chisholm located?

Tyler Chisholm practices at 301 S 320th St, Federal Way, WA 98003. The listed phone number is (253) 874-7000.

What is Tyler Chisholm's specialty?

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

Is Tyler Chisholm enrolled in Medicare?

Yes. Tyler Chisholm 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.

What insurance does Tyler Chisholm accept?

Health plans from PacificSource Health Plans list Tyler Chisholm 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 Chisholm was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.