STEPHANIE RENEE TYO MD
NPI 1417277435
Family Medicine in Tyler, TX

Active since June 02, 2010PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
13172 STATE HIGHWAY 64 E, TYLER, TX 75707(903) 535-9041(903) 630-6740 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, May 13, 2025, Nov 20, 2024 and 2 more (5 updates tracked since 2018).

About Stephanie Renee Tyo Md NPPES

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

STEPHANIE RENEE TYO MD (NPI 1417277435) is an individual family medicine provider in Tyler, Texas, licensed in West Virginia (30198) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2010).

NPPES Registry Identity

NPI1417277435
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE RENEE TYOCredential: MD
Location Address13172 STATE HIGHWAY 64 ETyler, TX 75707-5340
Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041 · Fax (903) 630-2039
Fax(903) 630-6740
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2010
Enumeration DateJune 2, 2010
Last NPPES UpdateJanuary 5, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
NPI 1417277435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 30198
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13172 STATE HIGHWAY 64 E, Tyler, TX 75707

Accepted 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

Stephanie Renee Tyo 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 ID2062655277
PECOS Enrollment IDI20210413002457
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75707 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
13172 STATE HIGHWAY 64 E
TYLER, TX 75707
Clinic/Center (Federally Qualified Health Center (FQHC))
13172 STATE HIGHWAY 64 E
TYLER, TX 75707
Student in an Organized Health Care Education/Training Program
13172 STATE HIGHWAY 64 E
TYLER, TX 75707
Counselor (Professional)
13172 STATE HIGHWAY 64 E
TYLER, TX 75707

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 Stephanie Tyo's NPI number?

The NPI number for Stephanie Tyo is 1417277435. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Stephanie Tyo located?

Stephanie Tyo practices at 13172 State Highway 64 E, Tyler, TX 75707. The listed phone number is (903) 535-9041.

What is Stephanie Tyo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephanie Tyo enrolled in Medicare?

Yes. Stephanie Tyo 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 Stephanie Tyo accept?

Health plans from CHRISTUS Health Plan, CareSource and UnitedHealthcare list Stephanie Tyo 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 Stephanie Tyo was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.