TYLER KELLY DO
NPI 1689100935
Family Medicine in Myrtle Beach, SC

Q: What is Tyler Kelly's NPI number?

The NPI number for Tyler Kelly is 1689100935. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Q: What is Tyler Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Kelly was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment

95.21/100

CMS Quality Rating

4320 HOLMESTOWN RD, MYRTLE BEACH, SC 29588(843) 652-8440(843) 652-8441 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2025, Jul 2, 2025, Jun 4, 2020 (3 updates tracked since 2020).

On this page

About Tyler Kelly Do NPPES

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

TYLER KELLY DO (NPI 1689100935) is an individual family medicine provider in Myrtle Beach, South Carolina, licensed in South Carolina (91454) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1689100935

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTYLER KELLYCredential: DO

Location Address4320 HOLMESTOWN RDMyrtle Beach, SC 29588-7837

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 527-7000

Phone(843) 652-8440

Fax(843) 652-8441

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017

Enumeration DateMay 5, 2017

Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1689100935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · 91454✔ Licensed in NY · 301771

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4320 HOLMESTOWN RD, Myrtle Beach, SC 29588

Open in Google Maps ↗

Secondary Practice Locations 9

Location 19699 Ocean HwyPawleys Island, SC 29585-7425 · Phone (843) 237-4296 · Fax (843) 237-0495

Location 2701 S Morgan AveAndrews, SC 29510-2959 · Phone (843) 264-5253 · Fax (843) 264-5970

Location 3456 N Main StHemingway, SC 29554-9190 · Phone (843) 558-9319 · Fax (843) 558-9818

Location 44301 Dick Pond RdMyrtle Beach, SC 29588-6807 · Phone (843) 652-8100 · Fax (843) 652-8122

Location 52200 Crow Ln Ste 301Myrtle Beach, SC 29577-1663 · Phone (843) 848-5300 · Fax (843) 848-5305

Location 611916 Highway 707 Ste DMurrells Inlet, SC 29576-9610 · Phone (843) 652-8450 · Fax (843) 652-8451

Location 71075 N Fraser StGeorgetown, SC 29440-2848 · Phone (843) 527-4442 · Fax (843) 527-4027

Location 82347 S Highway 17Murrells Inlet, SC 29576-7611 · Phone (843) 357-2443 · Fax (843) 357-2132

Location 94367 Riverwood Dr Unit 110Murrells Inlet, SC 29576-4381 · Phone (843) 652-8046 · Fax (843) 357-9771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 and accepts Medicare assignment

Tyler Kelly Do 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 ID7214270123

PECOS Enrollment IDI20250206002197

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

Medicare enrollment records show Tyler Kelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgetown Physician Associates, LLC

Same address

Pediatrics

4320 HOLMESTOWN RD STE B
Myrtle Beach, SC 29588

Reassigned Medicare billing, South Carolina enrollment
266 clinicians in this Medicare group

NPI 1053967943 (843) 652-8440

Musc Community Physicians

118 mi

Internal Medicine

506 NORTH ST
Bamberg, SC 29003

Reassigned Medicare billing, South Carolina enrollment
2,389 clinicians in this Medicare group

NPI 1841878006 (803) 245-6290

Schuyler Hospital Inc

613 mi

Internal Medicine

230 STEUBEN STREET
Montour Falls, NY 14865

Reassigned Medicare billing, New York enrollment
112 clinicians in this Medicare group

NPI 1760582142 (607) 535-7154

Cayuga Medical Associates, PC

624 mi

Internal Medicine

101 DATES DR
Ithaca, NY 14850

Reassigned Medicare billing, New York enrollment
328 clinicians in this Medicare group

NPI 1679525455 (607) 274-4011

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 6

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.

229 services106 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

92 services44 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

86 services85 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

86 services85 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services48 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

25 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29588 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

95.21/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.69

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier25 claims25 services$15.96 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers46 claims49 services$91.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ROBERT J HEINECK M.D.

Obstetrics & Gynecology