DR. TYLER G GUNDERSON M.D.
NPI 1477765014
Orthopaedic Surgery in Crossville, TN

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
82.1/100
CMS Quality Rating
118 BROWN AVE STE 103, CROSSVILLE, TN 38555(931) 484-8861(865) 374-2116 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2020, Oct 5, 2018, Aug 28, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Tyler G Gunderson M.d. NPPES

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

DR. TYLER G GUNDERSON M.D. (NPI 1477765014) is an individual orthopaedic surgery provider in Crossville, Tennessee, licensed in Tennessee (58038) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477765014
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TYLER G GUNDERSONCredential: M.D.
Location Address118 BROWN AVE STE 103Crossville, TN 38555
Mailing Address118 Brown Ave Ste 103Crossville, TN 38555-7740 · (931) 484-8861 · Fax (865) 374-2116
Fax(865) 374-2116
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2002
Enumeration DateMay 4, 2007
Last NPPES UpdateJune 29, 20204 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1477765014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in TN · 58038 Licensed in IL · 036-117892
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
118 BROWN AVE STE 103, Crossville, TN 38555

Secondary Practice Locations 2

Location 1215 E. 1st Street, Suite 305Dixon, IL 61021-0000 · Phone (815) 285-5800 · Fax (815) 285-5691
Location 2118 Brown Ave Ste 103Crossville, TN 38555 · Phone (931) 484-8861 · Fax (865) 374-2116

Other Identifiers 4

Medicaid036117892IL
MedicaidQ041304TN
Other036-117892IL · Physician License
OtherK39375IL · Medicare

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

Dr. Tyler G Gunderson 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 ID7012018807
PECOS Enrollment IDI20180828002056
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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,152 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
362 services235 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
173 services120 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
134 services86 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
124 services68 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
98 services64 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

82.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.05
Promoting Interoperability100
Improvement Activities20
Cost83.28

Reported Quality Measures

Breast Cancer Screening
65%369 patients3/55-star benchmark: 93%
Controlling High Blood Pressure
77%267 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,556 patients4/55-star benchmark: 100%
e-Prescribing
100%26 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%759 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
94%1,001 patients4/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
98%536 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 782 patients
Patients totalRate: 1% · 782 patients
0%782 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
118 BROWN AVE STE 103
CROSSVILLE, TN 38555
Physician Assistant
118 BROWN AVE STE 103
CROSSVILLE, TN 38555
Orthopaedic Surgery
118 BROWN AVE STE 103
CROSSVILLE, TN 38555

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 Gunderson's NPI number?

The NPI number for Tyler Gunderson is 1477765014. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Tyler Gunderson located?

Tyler Gunderson practices at 118 Brown Ave Ste 103, Crossville, TN 38555. The listed phone number is (931) 484-8861.

What is Tyler Gunderson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Tyler Gunderson enrolled in Medicare?

Yes. Tyler Gunderson 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 Tyler Gunderson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Tyler Gunderson 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.

Is Tyler Gunderson affiliated with any hospitals?

According to CMS data, Tyler Gunderson is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Tyler Gunderson was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.