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DR. TYLER DANIEL KALBAC MD
NPI 1295230928
Orthopaedic Surgery in South Miami, FL

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
6701 SUNSET DR STE 201, SOUTH MIAMI, FL 33143(305) 661-7601(305) 661-0154 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Jul 6, 2023, Mar 26, 2018 (3 updates tracked since 2018).

About Dr. Tyler Daniel Kalbac Md NPPES

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

DR. TYLER DANIEL KALBAC MD (NPI 1295230928) is an individual orthopaedic surgery provider in South Miami, Florida, licensed in Florida (ME166601) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of University Of Kentucky College Of Medicine (2023).

NPPES Registry Identity

NPI1295230928
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TYLER DANIEL KALBACCredential: MD
Location Address6701 SUNSET DR STE 201South Miami, FL 33143-4529
Mailing AddressPo Box 561685Miami, FL 33256-1685 · (305) 661-7601 · Fax (305) 661-0154
Phone(305) 661-7601
Fax(305) 661-0154
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2023
Enumeration DateMarch 26, 2018
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1295230928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME166601
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License ME166601 (FL)
6701 SUNSET DR STE 201, South Miami, FL 33143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Dr. Tyler Daniel Kalbac Md 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 ID4587992573
PECOS Enrollment IDI20240905004856
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.
45 services42 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.
23 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

ATARA MARKO PA-C
Physician Assistant
6701 SUNSET DR STE 201
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 661-7601
MR. MARCO ROCHA PA-C
Physician Assistant
6701 SUNSET DR STE 201
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 661-7601

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 Kalbac's NPI number?

The NPI number for Tyler Kalbac is 1295230928. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Tyler Kalbac located?

Tyler Kalbac practices at 6701 Sunset Dr Ste 201, South Miami, FL 33143. The listed phone number is (305) 661-7601.

What is Tyler Kalbac's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Tyler Kalbac enrolled in Medicare?

Yes. Tyler Kalbac 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 Kalbac accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Tyler Kalbac 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.

Is Tyler Kalbac affiliated with any hospitals?

According to CMS data, Tyler Kalbac is affiliated with South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Kalbac was last updated on July 18, 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.