KEVIN TIE MD
NPI 1548837982
Otolaryngology in Boston, MA
About Kevin Tie Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN TIE MD (NPI 1548837982) is an individual otolaryngology provider in Boston, Massachusetts, licensed in Massachusetts (288442) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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
Kevin Tie 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.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Tie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood, CO 80113
- Reassigned Medicare billing, Colorado enrollment
- 5 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 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
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 Kevin Tie's NPI number?
The NPI number for Kevin Tie is 1548837982. It was assigned to this individual provider in the NPPES registry on June 4, 2021.
Where is Kevin Tie located?
Kevin Tie practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-9236.
What is Kevin Tie's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Kevin Tie enrolled in Medicare?
Yes. Kevin Tie 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 Kevin Tie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Tie reassigns Medicare benefits to Colorado Facial Plastic Surgery Center Inc (Englewood, CO). 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 Kevin Tie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Tie was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kevin Tie, MD · NPI 1548837982
Otolaryngology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 4, 2021.
## Identity
- **NPI:** 1548837982 (Entity type: Individual)
- **Enumerated:** June 4, 2021
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 288442 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 BROOKLINE AVE, Boston, MA 02215-5400
- **Phone:** (617) 632-9236
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Colorado Facial Plastic Surgery Center Inc (NPI 1114068376, Englewood, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** June 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1548837982) · Data from the CMS NPPES public registry.