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DR. ELWIRA TYRA DMD
NPI 1275984205
Dentist - General Practice in Springfield, MA

Active since June 30, 2016PECOS Enrolled
41 TAYLOR ST STE 4, SPRINGFIELD, MA 01103(413) 781-7645 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2020, Jun 30, 2016 (2 updates tracked since 2016).

About Dr. Elwira Tyra Dmd NPPES

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

DR. ELWIRA TYRA DMD (NPI 1275984205) is an individual general practice provider in Springfield, Massachusetts, licensed in Massachusetts (DN1858873) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275984205
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELWIRA TYRACredential: DMD
Location Address41 TAYLOR ST STE 4Springfield, MA 01103-1332
Mailing Address41 Taylor St Ste 4Springfield, MA 01103-1332 · (413) 781-7645
Phone(413) 781-7645
Sole ProprietorYes
Enumeration DateJune 30, 2016
Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1275984205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN1858873
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
41 TAYLOR ST STE 4, Springfield, MA 01103
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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. Elwira Tyra Dmd 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 01103 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 2

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

DR. DAVID IRA PECK DMD
Dentist (General Practice)
41 TAYLOR ST STE 4
SPRINGFIELD, MA 01103
Hampden County (413) 781-7645
PABLO ENRIQUE VELASTEGUI DMD
Dentist (General Practice)
41 TAYLOR ST STE 4
SPRINGFIELD, MA 01103
Hampden County (413) 781-7645

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 Elwira Tyra's NPI number?

The NPI number for Elwira Tyra is 1275984205. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Elwira Tyra located?

Elwira Tyra practices at 41 Taylor St Ste 4, Springfield, MA 01103. The listed phone number is (413) 781-7645.

What is Elwira Tyra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elwira Tyra enrolled in Medicare?

Yes. Elwira Tyra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elwira Tyra was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.