DR. TYLER HUMPHREY MD
NPI 1467980102
Emergency Medicine in Oak Lawn, IL
About Dr. Tyler Humphrey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER HUMPHREY MD (NPI 1467980102) is an individual emergency medicine provider in Oak Lawn, Illinois, licensed in Michigan (4301504433) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kalkaska.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tyler Humphrey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Tyler Humphrey reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60689
- Reassigned Medicare billing, Michigan enrollment
- 492 clinicians in this Medicare group
Cadillac, MI 49601
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Caberfae Emergency Group PC
- 92 clinicians in this Medicare group
Kalkaska, MI 49646
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Charlevoix, MI 49720
- Reassigned Medicare billing, Michigan enrollment
- 97 clinicians in this Medicare group
Blythe, CA 92225
- Reassigned Medicare billing, California enrollment
- 2,323 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60453 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAK LAWN, IL 60453
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 Humphrey's NPI number?
The NPI number for Tyler Humphrey is 1467980102. It was assigned to this individual provider in the NPPES registry on May 25, 2017.
Where is Tyler Humphrey located?
Tyler Humphrey practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-5375.
What is Tyler Humphrey's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tyler Humphrey enrolled in Medicare?
Yes. Tyler Humphrey is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tyler Humphrey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Humphrey reassigns Medicare benefits to 5 organizations: Munson Medical Center (Chicago, IL), Caberfae Emergency Group, P.C. (Cadillac, MI), Kalkaska Memorial Health Center (Kalkaska, MI), Hawk Emergency Group, P.C. (Charlevoix, MI) and Cep America-California (Blythe, CA). Each 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 Humphrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Humphrey accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Tyler Humphrey 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 Humphrey was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Tyler Humphrey, MD · NPI 1467980102
Emergency Medicine physician in Oak Lawn, Illinois. Individual provider, active in the CMS NPPES registry since May 25, 2017.
## Identity
- **NPI:** 1467980102 (Entity type: Individual)
- **Enumerated:** May 25, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301504433 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4440 W 95TH ST, Oak Lawn, IL 60453-2600
- **Phone:** (708) 684-5375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Munson Medical Center (NPI 1699174730, Chicago, IL); Caberfae Emergency Group, P.C. (NPI 1447932504, Cadillac, MI); Kalkaska Memorial Health Center (NPI 1891980306, Kalkaska, MI); Hawk Emergency Group, P.C. (NPI 1073295135, Charlevoix, MI); Cep America-California (NPI 1710826581, Blythe, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467980102) · Data from the CMS NPPES public registry.