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DR. TYLER J HOLLEY MD, DDS
NPI 1154760411
Oral & Maxillofacial Surgery in Orlando, FL

Active since June 20, 2013PECOS Enrolled
95.69/100
CMS Quality Rating
207 W GORE ST STE 302, ORLANDO, FL 32806(407) 839-8407(407) 839-8446 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2021, Jun 25, 2020, May 8, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Tyler J Holley Md, Dds NPPES

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

DR. TYLER J HOLLEY MD, DDS (NPI 1154760411) is an individual oral & maxillofacial surgery provider in Orlando, Florida, licensed in Florida (ME144719) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1154760411
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. TYLER J HOLLEYCredential: MD, DDS
Location Address207 W GORE ST STE 302Orlando, FL 32806-1014
Mailing Address207 W Gore St Ste 302Orlando, FL 32806-1014 · (407) 839-8407 · Fax (407) 839-8446
Phone(407) 839-8407
Fax(407) 839-8446
Sole ProprietorNo
Enumeration DateJune 20, 2013
Last NPPES UpdateJanuary 8, 20244 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1154760411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in FL · ME144719✔ Licensed in NE · 7135
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 7135 (NE), DN25920 (FL)
207 W GORE ST STE 302, Orlando, FL 32806
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Secondary Practice Location 1

Location 11930 Alcoa Hwy Ste 335Knoxville, TN 37920-1585 · Phone (865) 305-6217 · Fax (865) 305-6216

Other Identifiers 1

Medicaid105884500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler J Holley Md, Dds 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.

Medicare 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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

PEDIATRIX MEDICAL GROUP FLORIDA INC
Otolaryngology (Pediatric Otolaryngology)
207 W GORE ST STE 302
ORLANDO, FL 32806
Orange County (407) 839-8407
DR. BRENT ALLEN GOLDEN DDS, MD
Oral & Maxillofacial Surgery
207 W GORE ST STE 302
ORLANDO, FL 32806
Orange County (407) 839-8407
MRS. TONYA L WORNER SLP
Speech-Language Pathologist
207 W GORE ST STE 302
ORLANDO, FL 32806
Orange County (407) 839-8407
MADISON CAMILLE JETVIG PA-C
Physician Assistant
207 W GORE ST STE 302
ORLANDO, FL 32806
Orange County (407) 839-8407
MS. KATHLEEN D WYATT SLP
Speech-Language Pathologist
207 W GORE ST STE 302
ORLANDO, FL 32806
Orange County (407) 839-8407
MRS. KELLY DARDEN APRN
Nurse Practitioner (Pediatrics)
207 W GORE ST STE 302
ORLANDO, FL 32806
Orange County (407) 839-8407
MRS. SUZANNE GREENLEAF MARTIN ARNP
Nurse Practitioner
207 W GORE ST STE 302
ORLANDO, FL 32806
Orange County (407) 839-8407

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 Holley's NPI number?

The NPI number for Tyler Holley is 1154760411. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Tyler Holley located?

Tyler Holley practices at 207 W Gore St Ste 302, Orlando, FL 32806. The listed phone number is (407) 839-8407.

What is Tyler Holley's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Tyler Holley enrolled in Medicare?

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

What insurance does Tyler Holley accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list Tyler Holley 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 Holley was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.