TYLER C MAXSON M.A.
NPI 1417399098
Psychologist - Clinical in Surprise, AZ
About Tyler C Maxson M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER C MAXSON M.A. (NPI 1417399098) is an individual clinical provider in Surprise, Arizona, licensed in Arizona (4642) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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 C Maxson M.a. 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 Maxson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mesa, AZ 85212
- Reassigned Medicare billing, Arizona enrollment
- 9 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SURPRISE, AZ 85374
SURPRISE, AZ 85374
SURPRISE, AZ 85374
SURPRISE, AZ 85374
SURPRISE, AZ 85374
SURPRISE, AZ 85374
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 Maxson's NPI number?
The NPI number for Tyler Maxson is 1417399098. It was assigned to this individual provider in the NPPES registry on July 23, 2013.
Where is Tyler Maxson located?
Tyler Maxson practices at 14780 W. Mountain View Blvd. Suite 110, Surprise, AZ 85374. The listed phone number is (623) 374-7774.
What is Tyler Maxson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Tyler Maxson enrolled in Medicare?
Yes. Tyler Maxson 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 Maxson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Maxson reassigns Medicare benefits to Forte - Phoenix, PLLC (Mesa, AZ). 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 Maxson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Maxson accept?
Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Tyler Maxson 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 Maxson was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 C Maxson, M.A. · NPI 1417399098
Clinical provider in Surprise, Arizona. Individual provider, active in the CMS NPPES registry since July 23, 2013.
## Identity
- **NPI:** 1417399098 (Entity type: Individual)
- **Enumerated:** July 23, 2013
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 4642 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 14780 W. MOUNTAIN VIEW BLVD., SUITE 110, Surprise, AZ 85374-7280
- **Phone:** (623) 374-7774 · **Fax:** (877) 796-5302
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Forte - Phoenix, PLLC (NPI 1255860342, Mesa, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1417399098) · Data from the CMS NPPES public registry.