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TYLER JAMES NICHOLS MD
NPI 1659934248
Emergency Medicine in Denison, TX

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
5016 S US HIGHWAY 75, DENISON, TX 75020(903) 416-4000 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2023, Aug 17, 2020, Apr 9, 2020 and 1 more (4 updates tracked since 2019).

About Tyler James Nichols Md NPPES

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

TYLER JAMES NICHOLS MD (NPI 1659934248) is an individual emergency medicine provider in Denison, Texas, licensed in Illinois (125076615) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Baylor College Of Medicine (2020).

NPPES Registry Identity

NPI1659934248
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTYLER JAMES NICHOLSCredential: MD
Location Address5016 S US HIGHWAY 75Denison, TX 75020-4584
Mailing Address5016 S Us Highway 75Denison, TX 75020-4584 · (903) 416-4000
Phone(903) 416-4000
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2020
Enumeration DateApril 18, 2019
Last NPPES UpdateMay 11, 20234 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1659934248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125076615
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5016 S US HIGHWAY 75, Denison, TX 75020
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Accepted Insurance

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

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 James Nichols 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 ID648635672
PECOS Enrollment IDI20230427000158
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
364 services352 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
155 services150 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
51 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
46 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

OMAR ALEJANDRO SUJO MD
Family Medicine (Physician Nutrition Specialist)
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (903) 416-4001
DR. DREW CONLAN CASTLEBERRY MD
Specialist
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (903) 892-1131
WATERLOO PARK INPATIENT SERVICES PLLC
Internal Medicine
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (973) 251-1132
BARRETT WESLEY COMPTON D.O.
Family Medicine
5016 S US HIGHWAY 75, ATTN: RESIDENCY PROGRAM
DENISON, TX 75020
Grayson County (817) 480-4840
DR. JOE L NIEHUS MD
Radiology (Diagnostic Radiology)
5016 S US HIGHWAY 75, RADIOLOGY DEPARTMENT
DENISON, TX 75020
Grayson County (903) 892-1131
DR. ARVIND V PEDDADA MD
Physical Medicine & Rehabilitation
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (817) 284-9850
WILLIAM BROOKS FREY M.D.
Specialist
5016 S US HIGHWAY 75, RADIOLOGY DEPARTMENT
DENISON, TX 75020
Grayson County (903) 892-1131
BRADLEY KYLE HAMMETT M.D.
Radiology (Diagnostic Radiology)
5016 S US HIGHWAY 75, RADIOLOGY DEPT
DENISON, TX 75020
Grayson County (903) 892-1131

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 Nichols's NPI number?

The NPI number for Tyler Nichols is 1659934248. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Tyler Nichols located?

Tyler Nichols practices at 5016 S Us Highway 75, Denison, TX 75020. The listed phone number is (903) 416-4000.

What is Tyler Nichols's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tyler Nichols enrolled in Medicare?

Yes. Tyler Nichols 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.

What insurance does Tyler Nichols accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Tyler Nichols 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.

Is Tyler Nichols affiliated with any hospitals?

According to CMS data, Tyler Nichols is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Tyler Nichols was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.