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DR. TYLER JAMES HALICEK MD
NPI 1699304014
Radiology - Diagnostic Radiology in Saint Louis, MO

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110(314) 362-7200(314) 747-4189 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2021, Apr 7, 2020 (2 updates tracked since 2020).

About Dr. Tyler James Halicek Md NPPES

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

DR. TYLER JAMES HALICEK MD (NPI 1699304014) is an individual diagnostic radiology provider in Saint Louis, Missouri, licensed in Missouri (2025009572) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2020).

NPPES Registry Identity

NPI1699304014
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. TYLER JAMES HALICEKCredential: MD
Location Address510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGYSaint Louis, MO 63110-1016
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7200 · Fax (314) 747-4189
Phone(314) 362-7200
Fax(314) 747-4189
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1699304014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MO · 2025009572
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
510 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110
Open in Google Maps ↗

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

Dr. Tyler James Halicek 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 ID6406277045
PECOS Enrollment IDI20250701003915, I20260512002802
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

3

Medicare enrollment records show Tyler Halicek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University
Same address
Multi-Specialty
510 S KINGSHIGHWAY BLVD
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 373 clinicians in this Medicare group
NPI 1962442475 (314) 273-0770
Miracl, LLC
95 mi
Multi-Specialty
1000 W 10TH ST
Rolla, MO 65401
  • Reassigned Medicare billing, Missouri enrollment
  • 347 clinicians in this Medicare group
NPI 1205304300 (573) 364-9000
Tristate Img (imaging Medical Group) Inc
312 mi
Specialist
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 49 clinicians in this Medicare group
NPI 1114927209 (513) 965-8041

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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.

BENJAMIN LEE MD
Radiology (Neuroradiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7092
DR. ADRIAN ALBERTO SANCHEZ MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. ZIAD WALID TARCHA MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. JAMES EDWARD KELLY MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. JOSHUA S SHIMONY MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
RASHID FUAD AL-SUKAITI MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7092
DR. ANDREW THOMAS GREER MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. GHAZAL SHADMANI MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200

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 Halicek's NPI number?

The NPI number for Tyler Halicek is 1699304014. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Tyler Halicek located?

Tyler Halicek practices at 510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110. The listed phone number is (314) 362-7200.

What is Tyler Halicek's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Tyler Halicek enrolled in Medicare?

Yes. Tyler Halicek 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.

Which organizations bill Medicare for Tyler Halicek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Halicek reassigns Medicare benefits to 3 organizations: Washington University (Saint Louis, MO), Miracl, LLC (Rolla, MO) and Tristate Img (imaging Medical Group) Inc (Cincinnati, OH). 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 Halicek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tyler Halicek affiliated with any hospitals?

According to CMS data, Tyler Halicek is affiliated with Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Tyler Halicek was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.