TYLER JEFFREY FRANCIS SKIDMORE MD
NPI 1689202962
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
MEDICAL CENTER BLVD 9TH FLOOR, WINSTON SALEM, NC 27157(336) 716-4101 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Jeffrey Francis Skidmore Md NPPES

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

TYLER JEFFREY FRANCIS SKIDMORE MD (NPI 1689202962) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2020).

NPPES Registry Identity

NPI1689202962
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER JEFFREY FRANCIS SKIDMORECredential: MD
Location AddressMEDICAL CENTER BLVD 9TH FLOORWinston Salem, NC 27157-0001
Mailing Address327 Woodbridge RdOak Hill, WV 25901-3333 · (304) 663-8957
Sole ProprietorYes
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2020
Enumeration DateMarch 31, 2020
NPPES CertifiedMarch 31, 2020
NPI 1689202962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MEDICAL CENTER BLVD 9TH FLOOR, Winston Salem, NC 27157

Accepted 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 Jeffrey Francis Skidmore 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 ID4587085360
PECOS Enrollment IDI20240926000827
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

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 Skidmore's NPI number?

The NPI number for Tyler Skidmore is 1689202962. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Tyler Skidmore located?

Tyler Skidmore practices at Medical Center Blvd 9th Floor, Winston Salem, NC 27157. The listed phone number is (336) 716-4101.

What is Tyler Skidmore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Skidmore enrolled in Medicare?

Yes. Tyler Skidmore 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 Skidmore accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Tyler Skidmore 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 Skidmore affiliated with any hospitals?

According to CMS data, Tyler Skidmore is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Skidmore was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.