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TYLER S SEVERANCE M.D.
NPI 1366822579
Pediatrics - Pediatric Hematology-Oncology in Columbia, MO

Active since June 02, 2015PECOS Enrolled
ONE HOSPITAL DR, COLUMBIA, MO 65212(573) 882-3961(573) 884-4277 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 28, 2022, Sep 13, 2022, Jun 7, 2021 (3 updates tracked since 2021).

About Tyler S Severance M.d. NPPES

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

TYLER S SEVERANCE M.D. (NPI 1366822579) is an individual pediatric hematology-oncology provider in Columbia, Missouri, licensed in Missouri (2022034889) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366822579
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameTYLER S SEVERANCECredential: M.D.
Location AddressONE HOSPITAL DRColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(573) 882-3961
Fax(573) 884-4277
Sole ProprietorNo
Enumeration DateJune 2, 2015
Last NPPES UpdateNovember 28, 20223 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
✔ NPI 1366822579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in MO · 2022034889✔ Licensed in IN · 01080551A
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
ONE HOSPITAL DR, Columbia, MO 65212
Open in Google Maps ↗

Other Identifiers 2

Medicaid200114355MO
Medicaid201295020IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler S Severance M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Severance reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Curators Of The University Of Missouri
0.2 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141

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 20

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

KARI A MYLENBUSCH CRNA
Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
SARAH MARIE VON THAER MD
Anesthesiology
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
JENNIFER MICHELLE KANDLIK F.N.P.
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-8788
SHEILA MARIE STRUCKMEYER FNP
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-4400
JACK DWAYNE BRAGG DO
Internal Medicine (Gastroenterology)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-8445
MRS. MEGAN ELAINE HILDERBRAND CRNA
Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
CURATORS OF THE UNIVERSITY OF MISSOURI
Specialist (Research Study)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-3019
DR. LAURA E. HENDERSON KELLEY M.D, MPH
Hospitalist
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-9066

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 Severance's NPI number?

The NPI number for Tyler Severance is 1366822579. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Tyler Severance located?

Tyler Severance practices at One Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 882-3961.

What is Tyler Severance's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Tyler Severance enrolled in Medicare?

Yes. Tyler Severance is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyler Severance's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Severance reassigns Medicare benefits to The Curators Of The University Of Missouri (Columbia, MO). 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 Severance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Severance accept?

Health plans from Anthem Blue Cross and Blue Shield list Tyler Severance 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 Severance was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.