TYLER ALLISON TETREAULT MD
NPI 1639532179
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Los Angeles, CA

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 660-2450 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2022, Feb 25, 2022, Jul 16, 2021 and 2 more (5 updates tracked since 2016).

About Tyler Allison Tetreault Md NPPES

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

TYLER ALLISON TETREAULT MD (NPI 1639532179) is an individual orthopaedic surgery of the spine provider in Los Angeles, California, licensed in Colorado (DR.0059083) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Tufts University School Of Medicine (2016).

NPPES Registry Identity

NPI1639532179
Entity TypeIndividualFemale
Primary Taxonomy207XS0117X
Provider Legal NameTYLER ALLISON TETREAULTCredential: MD
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateAugust 22, 20225 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1639532179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in CO · DR.0059083
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License A171255 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A171255 (CA)
4650 W SUNSET BLVD, Los Angeles, CA 90027

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 375-6740

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

Tyler Allison Tetreault 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 ID1153613997
PECOS Enrollment IDI20210728001261
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 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Tetreault's NPI number?

The NPI number for Tyler Tetreault is 1639532179. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Tyler Tetreault located?

Tyler Tetreault practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 660-2450.

What is Tyler Tetreault's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Tyler Tetreault enrolled in Medicare?

Yes. Tyler Tetreault 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.

When was this NPI record last updated?

The NPPES record for Tyler Tetreault was last updated on August 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.