Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. TYLER RANDOLPH HALLE MD
NPI 1629500087
Otolaryngology - Plastic Surgery within the Head & Neck in Atlanta, GA

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
2001 PEACHTREE RD NE STE 600, ATLANTA, GA 30309(404) 605-1155 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2023, Jul 25, 2022, Jun 29, 2017 (3 updates tracked since 2017).

About Dr. Tyler Randolph Halle Md NPPES

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

DR. TYLER RANDOLPH HALLE MD (NPI 1629500087) is an individual plastic surgery within the head & neck provider in Atlanta, Georgia, licensed in Georgia (95639) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1629500087
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. TYLER RANDOLPH HALLECredential: MD
Location Address2001 PEACHTREE RD NE STE 600Atlanta, GA 30309-1424
Mailing Address495 Mead St SeAtlanta, GA 30315-2022 · (404) 414-0005
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1629500087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in GA · 95639
Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 95639 (GA)
2001 PEACHTREE RD NE STE 600, Atlanta, GA 30309

Secondary Practice Location 1

Location 180 Jesse Hill Jr Dr SEAtlanta, GA 30303-3031 · Phone (404) 616-1000

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 Randolph Halle 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.

PECOS PAC ID749551430
PECOS Enrollment IDI20230725002315
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 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.

Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
25 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

Clinic/Center
2001 PEACHTREE RD NE STE 600
ATLANTA, GA 30309
Internal Medicine (Pulmonary Disease)
2001 PEACHTREE RD NE STE 600
ATLANTA, GA 30309
Physician Assistant
2001 PEACHTREE RD NE STE 600
ATLANTA, GA 30309

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 Halle's NPI number?

The NPI number for Tyler Halle is 1629500087. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Tyler Halle located?

Tyler Halle practices at 2001 Peachtree Rd NE Ste 600, Atlanta, GA 30309. The listed phone number is (404) 605-1155.

What is Tyler Halle's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Tyler Halle enrolled in Medicare?

Yes. Tyler Halle 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.

Is Tyler Halle affiliated with any hospitals?

According to CMS data, Tyler Halle is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Halle was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.