MR. TYLER JAMES CORKUM NP
NPI 1285125062
Nurse Practitioner - Psychiatric/Mental Health in Centreville, MD

Q: What is Tyler Corkum's NPI number?

The NPI number for Tyler Corkum is 1285125062. It was assigned to this individual provider in the NPPES registry on May 28, 2018.

Q: What is Tyler Corkum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Corkum was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 28, 2018PECOS EnrolledAccepts Medicare Assignment

120 BANJO LN, CENTREVILLE, MD 21617(410) 758-2211 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Tyler James Corkum Np NPPES

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

MR. TYLER JAMES CORKUM NP (NPI 1285125062) is an individual psychiatric/mental health provider in Centreville, Maryland, licensed in Maryland (R217257) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285125062

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. TYLER JAMES CORKUMCredential: NP

Location Address120 BANJO LNCentreville, MD 21617-1002

Mailing Address5304 Purlington WayBaltimore, MD 21212-3403 · (443) 845-2512

Phone(410) 758-2211

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 28, 2018

Last NPPES UpdateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1285125062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R217257

120 BANJO LN, Centreville, MD 21617

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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 and accepts Medicare assignment

Mr. Tyler James Corkum Np 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 ID7113375015

PECOS Enrollment IDI20231204001692

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

227 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services20 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21617 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

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.

MISS ASHLEY MARIE MOGLE

Counselor (Mental Health)