DR. TYLER CLARE NICHOLSON MD
NPI 1205356482
Orthopaedic Surgery in El Paso, TX
About Dr. Tyler Clare Nicholson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER CLARE NICHOLSON MD (NPI 1205356482) is an individual orthopaedic surgery provider in El Paso, Texas, licensed in Wisconsin (72278-20) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tyler Clare Nicholson Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Tyler Nicholson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Abilene, TX 79601
- Reassigned Medicare billing, Texas enrollment
- 420 clinicians in this Medicare group
Ennis, TX 75119
- Reassigned Medicare billing, Texas enrollment
- 78 clinicians in this Medicare group
Los Banos, CA 93635
- Reassigned Medicare billing, Idaho enrollment
- 19 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, California and Idaho enrollments
- 266 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDPalestine Regional Medical Center
Acute Care Hospitals · Palestine, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EL PASO, TX 79920
EL PASO, TX 79920
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 Nicholson's NPI number?
The NPI number for Tyler Nicholson is 1205356482. It was assigned to this individual provider in the NPPES registry on June 20, 2017.
Where is Tyler Nicholson located?
Tyler Nicholson practices at 5005 N. Piedras St. William Beaumont Army Medical Center Attn: Gme, El Paso, TX 79920. The listed phone number is (915) 742-2597.
What is Tyler Nicholson's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Tyler Nicholson enrolled in Medicare?
Yes. Tyler Nicholson 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.
Which organizations bill Medicare for Tyler Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Nicholson reassigns Medicare benefits to 4 organizations: Hendrick Provider Network (Abilene, TX), Texas Specialty Physicians (Ennis, TX), Surgical Affiliates Of California (Los Banos, CA) and Acute Care Surgery Medical Group, Inc. (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Nicholson accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, PacificSource Health Plans, Providence Health Plan and Select Health list Tyler Nicholson 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.
Is Tyler Nicholson affiliated with any hospitals?
According to CMS data, Tyler Nicholson is affiliated with St Lukes Magic Valley Medical Center and Palestine Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Tyler Nicholson was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Dr. Tyler Clare Nicholson, MD · NPI 1205356482
Orthopaedic Surgery physician in El Paso, Texas. Individual provider, active in the CMS NPPES registry since June 20, 2017.
## Identity
- **NPI:** 1205356482 (Entity type: Individual)
- **Enumerated:** June 20, 2017
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 72278-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5005 N. PIEDRAS ST., WILLIAM BEAUMONT ARMY MEDICAL CENTER ATTN: GME, El Paso, TX 79920-5001
- **Phone:** (915) 742-2597 · **Fax:** (915) 742-6666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hendrick Provider Network (NPI 1396961322, Abilene, TX); Texas Specialty Physicians (NPI 1942538616, Ennis, TX); Surgical Affiliates Of California (NPI 1932440781, Los Banos, CA); Acute Care Surgery Medical Group, Inc. (NPI 1700069549, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** August 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205356482) · Data from the CMS NPPES public registry.