Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER RODERICKS DPM
NPI 1760045447
Podiatrist - Foot & Ankle Surgery in Puyallup, WA

Q: What is Tyler Rodericks's NPI number?

The NPI number for Tyler Rodericks is 1760045447. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Tyler Rodericks's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Rodericks was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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 April 17, 2019PECOS EnrolledAccepts Medicare Assignment

1450 5TH ST SE STE 4400, PUYALLUP, WA 98372(253) 848-0131 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2023, Mar 12, 2023, Feb 13, 2023 and 2 more (5 updates tracked since 2019).

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About Tyler Rodericks Dpm NPPES

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

TYLER RODERICKS DPM (NPI 1760045447) is an individual foot & ankle surgery provider in Puyallup, Washington, licensed in Washington (PODI.PO.61529920) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2020).

NPPES Registry Identity

NPI1760045447

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameTYLER RODERICKSCredential: DPM

Location Address1450 5TH ST SE STE 4400Puyallup, WA 98372-4691

Mailing Address1450 5th St Se Ste 4400Puyallup, WA 98372-4691 · (253) 848-0131

Phone(253) 848-0131

Sole ProprietorNo

Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2020

Enumeration DateApril 17, 2019

Last NPPES UpdateJune 29, 20265 updates tracked since enumeration

NPPES CertifiedJune 29, 2026

✔ NPI 1760045447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in WA · PODI.PO.61529920

1450 5TH ST SE STE 4400, Puyallup, WA 98372

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Rodericks Dpm 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 ID941667646

PECOS Enrollment IDI20240709004570

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services38 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

42 services31 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services26 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.

20 services20 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

18 services17 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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