TYLER CLARK D.O.
NPI 1578850475
Internal Medicine in Hickory, NC
About Tyler Clark D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER CLARK D.O. (NPI 1578850475) is an individual internal medicine provider in Hickory, North Carolina, licensed in North Carolina (2016-02518) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2011).
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 Clark D.o. 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 Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hickory, NC 28602
- Reassigned Medicare billing, North Carolina enrollment
- 59 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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCCatawba Valley Medical Center
Acute Care Hospitals · Hickory, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
HICKORY, NC 28602
HICKORY, NC 28602
HICKORY, NC 28602
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 Clark's NPI number?
The NPI number for Tyler Clark is 1578850475. It was assigned to this individual provider in the NPPES registry on June 30, 2011.
Where is Tyler Clark located?
Tyler Clark practices at 810 Fairgrove Church Rd, Hickory, NC 28602. The listed phone number is (828) 326-3000.
What is Tyler Clark's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tyler Clark enrolled in Medicare?
Yes. Tyler Clark 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 Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Clark reassigns Medicare benefits to Catawba Valley Medical Center (Hickory, NC). 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 Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Clark accept?
Health plans from Cigna Healthcare list Tyler Clark 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 Clark affiliated with any hospitals?
According to CMS data, Tyler Clark is affiliated with North Carolina Baptist Hospital and Catawba Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Tyler Clark was last updated on June 13, 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.
# Tyler Clark, D.O. · NPI 1578850475
Internal Medicine physician in Hickory, North Carolina. Individual provider, active in the CMS NPPES registry since June 30, 2011.
## Identity
- **NPI:** 1578850475 (Entity type: Individual)
- **Enumerated:** June 30, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2016-02518 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 810 FAIRGROVE CHURCH RD, Hickory, NC 28602-9617
- **Phone:** (828) 326-3000
## 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:** Catawba Valley Medical Center (NPI 1285929554, Hickory, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2011
## Record status
- **NPPES last updated:** June 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1578850475) · Data from the CMS NPPES public registry.