DR. TYLER ALLEN DEFRIECE MD
NPI 1619617479
Student in an Organized Health Care Education/Training Program in Carmel, NY
About Dr. Tyler Allen Defriece Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER ALLEN DEFRIECE MD (NPI 1619617479) is an individual student in an organized health care education/training program in Carmel, New York and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Tyler Allen Defriece 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 Reassignments
3Medicare enrollment records show Tyler Defriece reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
Mansfield Center, CT 06250
- Reassigned Medicare billing, Connecticut enrollment
- 200 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 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.
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.
CARMEL, NY 10512
CARMEL, NY 10512
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 Defriece's NPI number?
The NPI number for Tyler Defriece is 1619617479. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Tyler Defriece located?
Tyler Defriece practices at 670 Stoneleigh Ave, Carmel, NY 10512. The listed phone number is (845) 790-1321.
What is Tyler Defriece's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tyler Defriece enrolled in Medicare?
Yes. Tyler Defriece 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 organizations bill Medicare for Tyler Defriece's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Defriece reassigns Medicare benefits to 3 organizations: Windham Community Memorial Hospital, Inc. (Willimantic, CT), Natchaug Hospital, Inc. (Mansfield Center, CT) and William W Backus Hospital (Norwich, CT). 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 Defriece'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 Tyler Defriece was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Tyler Allen Defriece, MD · NPI 1619617479
Student in an Organized Health Care Education/Training Program provider in Carmel, New York. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1619617479 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 670 STONELEIGH AVE, Carmel, NY 10512-3997
- **Phone:** (845) 790-1321
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Windham Community Memorial Hospital, Inc. (NPI 1023191467, Willimantic, CT); Natchaug Hospital, Inc. (NPI 1295811321, Mansfield Center, CT); William W Backus Hospital (NPI 1730243536, Norwich, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619617479) · Data from the CMS NPPES public registry.