TYLER OTTESEN DC
NPI 1295303436
Chiropractor in Newburgh, NY
About Tyler Ottesen Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER OTTESEN DC (NPI 1295303436) is an individual chiropractor in Newburgh, New York, licensed in New York (X013461-01) and active in the NPI registry since June 2021. He is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tyler Ottesen Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Tyler Ottesen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newburgh, NY 12550
- Reassigned Medicare billing, New York enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Ottesen's NPI number?
The NPI number for Tyler Ottesen is 1295303436. It was assigned to this individual provider in the NPPES registry on June 15, 2021.
Where is Tyler Ottesen located?
Tyler Ottesen practices at 52 Route 17K Ste 203, Newburgh, NY 12550. The listed phone number is (845) 565-5410.
What is Tyler Ottesen's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tyler Ottesen enrolled in Medicare?
Yes. Tyler Ottesen 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.
Which organization bills Medicare for Tyler Ottesen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Ottesen reassigns Medicare benefits to Innate Chiropractic PC (Newburgh, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Ottesen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Ottesen accept?
Health plans from Providence Health Plan list Tyler Ottesen 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 Ottesen was last updated on June 15, 2021. 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.
# Tyler Ottesen, DC · NPI 1295303436
Chiropractor provider in Newburgh, New York. Individual provider, active in the CMS NPPES registry since June 15, 2021.
## Identity
- **NPI:** 1295303436 (Entity type: Individual)
- **Enumerated:** June 15, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** X013461-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 52 ROUTE 17K STE 203, Newburgh, NY 12550-3920
- **Phone:** (845) 565-5410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Innate Chiropractic PC (NPI 1366759797, Newburgh, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295303436) · Data from the CMS NPPES public registry.