DR. TYLER ROBERT PETREE DO
NPI 1205494994
Surgery - Vascular Surgery in Dallas, TX
About Dr. Tyler Robert Petree Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER ROBERT PETREE DO (NPI 1205494994) is an individual vascular surgery provider in Dallas, Texas, licensed in Texas (W7108) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tyler Robert Petree Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyler Petree reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75203
- Reassigned Medicare billing, Texas enrollment
- 562 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75226 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Petree's NPI number?
The NPI number for Tyler Petree is 1205494994. It was assigned to this individual provider in the NPPES registry on May 29, 2019. The provider is also known as Dr. Tyler Robert Petree Do.
Where is Tyler Petree located?
Tyler Petree practices at 621 N Hall St Ste 100, Dallas, TX 75226. The listed phone number is (469) 800-4704.
What is Tyler Petree's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Tyler Petree enrolled in Medicare?
Yes. Tyler Petree is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyler Petree's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Petree reassigns Medicare benefits to Medhealth (Dallas, TX). The 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 Petree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Petree accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and WellPoint list Tyler Petree 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 Petree was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Robert Petree, DO · NPI 1205494994
Vascular Surgery physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since May 29, 2019.
## Identity
- **NPI:** 1205494994 (Entity type: Individual)
- **Enumerated:** May 29, 2019
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** W7108 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 621 N HALL ST STE 100, Dallas, TX 75226-1305
- **Phone:** (469) 800-4704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medhealth (NPI 1912957200, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205494994) · Data from the CMS NPPES public registry.