MR. TYLER WILSON CLEMMENSEN
NPI 1265852107
Pathology - Anatomic Pathology in Birmingham, AL

Active since April 18, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
625 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4303(205) 934-5499 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tyler Wilson Clemmensen NPPES

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

MR. TYLER WILSON CLEMMENSEN (NPI 1265852107) is an individual anatomic pathology provider in Birmingham, Alabama, licensed in Alabama (35415) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2014).

NPPES Registry Identity

NPI1265852107
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameMR. TYLER WILSON CLEMMENSEN
Location Address625 19TH ST SBirmingham, AL 35249
Mailing Address625 19th St SBirmingham, AL 35249
Fax(205) 934-5499
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2014
Enumeration DateApril 18, 2014
Last NPPES UpdateMay 1, 2019
NPI 1265852107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in AL · 35415
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 35415 (AL)
625 19TH ST S, Birmingham, AL 35249

Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35249-1900 · Phone (205) 934-4011

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

Mr. Tyler Wilson Clemmensen 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 ID1456648435
PECOS Enrollment IDI20190604002702
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
646 services355 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
243 services61 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
129 services84 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
93 services88 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
83 services73 patients
Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
72 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50
Improvement Activities40

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.

Internal Medicine
625 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Medical Oncology)
625 19TH ST S
BIRMINGHAM, AL 35249
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35249
Nurse Practitioner (Gerontology)
625 19TH ST S, JT 807
BIRMINGHAM, AL 35249
Anesthesiology
625 19TH ST S
BIRMINGHAM, AL 35249
Emergency Medicine
625 19TH ST S
BIRMINGHAM, AL 35249
Personal Emergency Response Attendant
625 19TH ST S
BIRMINGHAM, AL 35249
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35249

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 Clemmensen's NPI number?

The NPI number for Tyler Clemmensen is 1265852107. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Tyler Clemmensen located?

Tyler Clemmensen practices at 625 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-4303.

What is Tyler Clemmensen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Tyler Clemmensen enrolled in Medicare?

Yes. Tyler Clemmensen 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 Clemmensen accept?

Health plans from Blue Cross and Blue Shield of Alabama list Tyler Clemmensen 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 Clemmensen was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.