DR. TYLER BRENDAN DRAEGER M.D.
NPI 1184074098
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Warwick, RI

Q: What is Tyler Draeger's NPI number?

The NPI number for Tyler Draeger is 1184074098. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Tyler Draeger's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Draeger was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2016PECOS Enrolled

455 TOLL GATE RD, WARWICK, RI 02886(401) 736-1092(401) 738-0013 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, May 5, 2020, Jun 21, 2016 (3 updates tracked since 2016).

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About Dr. Tyler Brendan Draeger M.d. NPPES

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

DR. TYLER BRENDAN DRAEGER M.D. (NPI 1184074098) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Warwick, Rhode Island, licensed in Massachusetts (292835) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1184074098

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. TYLER BRENDAN DRAEGERCredential: M.D.

Location Address455 TOLL GATE RDWarwick, RI 02886-2759

Mailing Address75 Francis St, Division Of Thoracic SurgeryBoston, MA 02115-6106 · (617) 525-6757

Phone(401) 736-1092

Fax(401) 738-0013

Sole ProprietorNo

Enumeration DateJune 21, 2016

Last NPPES UpdateDecember 8, 20233 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1184074098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in MA · 292835✔ Licensed in RI · MD19384

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License A160740 (CA)

455 TOLL GATE RD, Warwick, RI 02886

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Secondary Practice Location 1

Location 175 Francis St, Division of Thoracic SurgeryBoston, MA 02115-6106 · Phone (617) 525-6757

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 Brendan Draeger M.d. 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 02886 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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.