BEVERLY ANN TYLER M.D.
NPI 1609849769
Pediatrics in Bel Air, MD

Q: What is Beverly Tyler's NPI number?

The NPI number for Beverly Tyler is 1609849769. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Beverly Tyler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Tyler was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since February 09, 2006PECOS Enrolled

104 PLUMTREE ROAD, SUITE 115, BEL AIR, MD 21015(410) 515-4300(410) 515-4318 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Beverly Ann Tyler M.d. NPPES

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

BEVERLY ANN TYLER M.D. (NPI 1609849769) is an individual pediatrics provider in Bel Air, Maryland, licensed in Maryland (D0034255) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609849769

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameBEVERLY ANN TYLERCredential: M.D.

Location Address104 PLUMTREE ROAD, SUITE 115Bel Air, MD 21015-5901

Mailing Address104 Plumtree Rd Ste 115Bel Air, MD 21015-6095 · (410) 515-4300 · Fax (410) 515-5170

Phone(410) 515-4300

Fax(410) 515-4318

Sole ProprietorNo

Enumeration DateFebruary 9, 2006

Last NPPES UpdateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1609849769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D0034255

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

104 PLUMTREE ROAD, Bel Air, MD 21015

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Ann Tyler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Beverly Tyler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifebridge Community Physicians, Inc

0.4 mi

Internal Medicine

2012 S TOLLGATE RD, SUITE 111
Bel Air, MD 21015

Reassigned Medicare billing, Maryland enrollment
317 clinicians in this Medicare group

NPI 1417354812 (410) 569-4144

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 21015 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Beverly Tyler's NPI number?

The NPI number for Beverly Tyler is 1609849769. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Beverly Tyler located?

Beverly Tyler practices at 104 Plumtree Road Suite 115, Bel Air, MD 21015. The listed phone number is (410) 515-4300.

What is Beverly Tyler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Beverly Tyler enrolled in Medicare?

Yes. Beverly Tyler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beverly Tyler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Tyler reassigns Medicare benefits to Lifebridge Community Physicians, Inc (Bel Air, MD). 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 Beverly Tyler'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 Beverly Tyler was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.