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TYLER JACOB BRUINSMA MD
NPI 1669110151
Pediatrics in Cincinnati, OH

Active since May 24, 2022PECOS Enrolled
3333 BURNET AVE, CINCINNATI, OH 45229(513) 636-4200 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jun 25, 2025, May 24, 2022 (2 updates tracked since 2022).

About Tyler Jacob Bruinsma Md NPPES

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

TYLER JACOB BRUINSMA MD (NPI 1669110151) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.153615) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2022).

NPPES Registry Identity

NPI1669110151
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTYLER JACOB BRUINSMACredential: MD
Location Address3333 BURNET AVECincinnati, OH 45229-3026
Mailing Address3333 Burnet AveCincinnati, OH 45229-3026
Phone(513) 636-4200
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2022
Enumeration DateMay 24, 2022
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1669110151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OH · 35.153615✔ Licensed in PA · MT225360
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3333 BURNET AVE, Cincinnati, OH 45229
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Jacob Bruinsma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709372758
PECOS Enrollment IDI20251230001309
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Bruinsma's NPI number?

The NPI number for Tyler Bruinsma is 1669110151. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Tyler Bruinsma located?

Tyler Bruinsma practices at 3333 Burnet Ave, Cincinnati, OH 45229. The listed phone number is (513) 636-4200.

What is Tyler Bruinsma's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tyler Bruinsma enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyler Bruinsma was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.