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DR. TYLER KEITH WILSON DO
NPI 1659931475
Psychiatry & Neurology - Psychiatry in Johnson City, TN

Active since June 14, 2019PECOS Enrolled
73.84/100
CMS Quality Rating
701 MED TECH PKWY STE 200, JOHNSON CITY, TN 37604(423) 302-3480(423) 833-0639 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Sep 5, 2024, Jul 30, 2024 and 1 more (4 updates tracked since 2019).

About Dr. Tyler Keith Wilson Do NPPES

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

DR. TYLER KEITH WILSON DO (NPI 1659931475) is an individual psychiatry provider in Johnson City, Tennessee, licensed in Tennessee (5746) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659931475
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TYLER KEITH WILSONCredential: DO
Location Address701 MED TECH PKWY STE 200Johnson City, TN 37604-2371
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Phone(423) 302-3480
Fax(423) 833-0639
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 14, 2019
Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1659931475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in TN · 5746✔ Licensed in SC · LL82221
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
701 MED TECH PKWY STE 200, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1403 N State of Franklin RdJohnson City, TN 37604-6034 · Phone (423) 431-7111
Location 2701 Med Tech Pkwy Ste 201Johnson City, TN 37604-2365 · Phone (423) 302-3480

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Keith Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789914870
PECOS Enrollment IDI20260812001222
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 Reassignments

6

Medicare enrollment records show Tyler Wilson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.
Same address
Psychiatry
701 MED TECH PKWY STE 200
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • Also billed through NPI 1295193183 (Virginia)
  • 861 clinicians in this Medicare group
NPI 1275393522 (423) 302-3480
Blue Ridge Medical Management Corpoartion
Same address
Neurological Surgery
701 MED TECH PKWY STE 300
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Blue Ridge Medical Management Corporation
  • 496 clinicians in this Medicare group
NPI 1417453440 (423) 232-8301
Takoma Regional Hospital Inc
24 mi
General Acute Care Hospital
1420 TUSCULUM BLVD
Greeneville, TN 37745
  • Reassigned Medicare billing, Tennessee enrollment
  • 35 clinicians in this Medicare group
NPI 1699819003 (423) 787-5000
Abingdon Physician Partners
38 mi
Internal Medicine
16000 JOHNSTON MEMORIAL DRIVE
Abingdon, VA 24211
  • Reassigned Medicare billing, Virginia enrollment
  • 57 clinicians in this Medicare group
NPI 1306944350 (276) 258-3700
Mountain States Health Alliance
40 mi
Rural Health
16431 WISE ST
St Paul, VA 24283
  • Reassigned Medicare billing, Virginia enrollment
  • 19 clinicians in this Medicare group
NPI 1386813616 (276) 762-2300
University Medical Associates
277 mi
Multi-Specialty
2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1760413835 (843) 792-1414

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

73.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.28
Promoting Interoperability99
Improvement Activities40
Cost53.36

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.

MRS. MELISSA RENEE TUCKER LPC-MHSP, NCC
Counselor (Mental Health)
701 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604
Washington County (423) 302-3480
WELLMONT MEDICAL ASSOCIATES, INC.
Psychiatry & Neurology (Psychiatry)
701 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604
Washington County (423) 302-3480
SCYRON R MCINTURFF APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
701 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604
Washington County (423) 302-3480

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 Wilson's NPI number?

The NPI number for Tyler Wilson is 1659931475. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Tyler Wilson located?

Tyler Wilson practices at 701 Med Tech Pkwy Ste 200, Johnson City, TN 37604. The listed phone number is (423) 302-3480.

What is Tyler Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Tyler Wilson enrolled in Medicare?

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

Which organizations bill Medicare for Tyler Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Wilson reassigns Medicare benefits to 6 organizations: Wellmont Medical Associates, Inc. (Johnson City, TN), Blue Ridge Medical Management Corpoartion (Johnson City, TN), Takoma Regional Hospital Inc (Greeneville, TN), Abingdon Physician Partners (Abingdon, VA), Mountain States Health Alliance (St Paul, VA) and 1 more organization, listed in the Medicare section above. 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Wilson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Tyler Wilson 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.

When was this NPI record last updated?

The NPPES record for Tyler Wilson was last updated on September 8, 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.