DR. TYLER KITZMAN O.D.
NPI 1164875787
Optometrist in Memphis, TN

Active since July 19, 2016PECOS EnrolledAccepts Medicare Assignment
1225 MADISON AVE, MEMPHIS, TN 38104(901) 722-3250 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 19, 2017 (3 updates tracked since 2017).

About Dr. Tyler Kitzman O.d. NPPES

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

DR. TYLER KITZMAN O.D. (NPI 1164875787) is an individual optometrist in Memphis, Tennessee, licensed in Tennessee (3407) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tahlequah, and is a graduate of Southern College Of Optometry (2016).

NPPES Registry Identity

NPI1164875787
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TYLER KITZMANCredential: O.D.
Location Address1225 MADISON AVEMemphis, TN 38104-2211
Mailing Address1225 Madison AveMemphis, TN 38104-2211 · (901) 722-3250
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2016
Enumeration DateJuly 19, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1164875787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in TN · 3407 Licensed in OK · 2891
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1225 MADISON AVE, Memphis, TN 38104

Secondary Practice Location 1

Location 11001 N Grand AveTahlequah, OK 74464-7017 · Phone (918) 458-2108

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 Kitzman O.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 ID7416243563
PECOS Enrollment IDI20171023001725
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 38104 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 20

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

Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104

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 Kitzman's NPI number?

The NPI number for Tyler Kitzman is 1164875787. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Tyler Kitzman located?

Tyler Kitzman practices at 1225 Madison Ave, Memphis, TN 38104. The listed phone number is (901) 722-3250.

What is Tyler Kitzman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tyler Kitzman enrolled in Medicare?

Yes. Tyler Kitzman 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 Kitzman accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Tyler Kitzman 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 Kitzman was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.