DR. TYLER ROBERT PETREE DO
NPI 1205494994
Surgery - Vascular Surgery in Dallas, TX

Q: 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.

Q: What is Tyler Petree's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: 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 2 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.

Active since May 29, 2019PECOS Enrolled

621 N HALL ST STE 100, DALLAS, TX 75226(469) 800-4704 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 20, 2026, May 29, 2019 (2 updates tracked since 2019).

On this page

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

NPI1205494994

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. TYLER ROBERT PETREECredential: DO

Location Address621 N HALL ST STE 100Dallas, TX 75226-1305

Mailing Address6471 Cedar Elm RdMidlothian, TX 76065-7466 · (214) 675-0240

Phone(469) 800-4704

Sole ProprietorYes

Enumeration DateMay 29, 2019

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1205494994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in TX · W7108

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

621 N HALL ST STE 100, Dallas, TX 75226

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Tyler Robert Petree Do

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Robert Petree Do 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 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.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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 7

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

ERICA DAVANIAN D.O.

Surgery (Vascular Surgery)