TYLER POUBLON M.D.
NPI 1386091320
Radiology - Diagnostic Radiology in South Weymouth, MA

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment
55 FOGG RD, SOUTH WEYMOUTH, MA 02190(781) 624-8000(781) 624-3719 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 10, 2021, May 19, 2016 (2 updates tracked since 2016).

About Tyler Poublon M.d. NPPES

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

TYLER POUBLON M.D. (NPI 1386091320) is an individual diagnostic radiology provider in South Weymouth, Massachusetts, licensed in New York (308884) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1386091320
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTYLER POUBLONCredential: M.D.
Location Address55 FOGG RDSouth Weymouth, MA 02190-2432
Mailing AddressPo Box 200694Pittsburgh, PA 15251-0694 · (833) 324-6904 · Fax (302) 440-5783
Fax(781) 624-3719
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 19, 2016
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
NPI 1386091320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 308884
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

55 FOGG RD, South Weymouth, MA 02190

Secondary Practice Location 1

Location 1601 Elmwood AveRochester, NY 14642-2306 · Phone (585) 275-2734

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

Tyler Poublon M.d. 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 ID4587063292
PECOS Enrollment IDI20220513000662
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 51

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
359 services346 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
315 services298 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
282 services278 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
232 services230 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
152 services151 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
120 services120 patients

Hospital Affiliations CMS Care Compare 2

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

Surgery (Plastic and Reconstructive Surgery)
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Surgery (Plastic and Reconstructive Surgery)
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Internal Medicine (Endocrinology, Diabetes & Metabolism)
55 FOGG RD
WEYMOUTH, MA 02190
Psychiatry & Neurology (Neurology)
55 FOGG RD, DEPARTMENT OF NEUROLOGY
SOUTH WEYMOUTH, MA 02190
Anesthesiology
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Anesthesiology
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Emergency Medicine (Emergency Medical Services)
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Internal Medicine (Cardiovascular Disease)
55 FOGG RD, CARDIOVASCULAR CENTER AT SOUTH SHORE HOSPITAL
S WEYMOUTH, MA 02190

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386091320, enumerated as an "individual" on May 19, 2016.

The provider is located at 55 FOGG RD SOUTH WEYMOUTH, MA 02190 and the phone number is (781) 624-8000.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Tyler Poublon is affiliated with: SOUTH SHORE HOSPITAL and BRIGHAM AND WOMEN'S HOSPITAL.