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

Active since April 17, 2019PECOS Enrolled
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: November 01, 2026.

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

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, is affiliated with Multicare Good Samaritan Hospital, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Rodericks Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tyler Rodericks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ankle & Foot Specialists Of Puget Sound, Ps
Same address
Primary Podiatric Medicine
1450 5TH ST SE STE 4400
Puyallup, WA 98372
  • Reassigned Medicare billing, Washington enrollment
  • 7 clinicians in this Medicare group
NPI 1558668582 (253) 841-2006
Alexander Medical Group LLC
2,509 mi
Orthopaedic Surgery
12416 66TH STREET N, SUITE A
Largo, FL 33773
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
NPI 1265453286 (727) 547-4700

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 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

Hospital Affiliations CMS Care Compare

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

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

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.

DOMINIQUE DEVINE LMT
Massage Therapist
1450 5TH ST SE STE 4400
PUYALLUP, WA 98372
Pierce County (253) 881-1362
THANH-THAO TRUONG DPT
Physical Therapist
1450 5TH ST SE STE 4400
PUYALLUP, WA 98372
Pierce County (253) 881-1362
MADELYN COLLINS DPT
Physical Therapist
1450 5TH ST SE STE 4400
PUYALLUP, WA 98372
Pierce County (253) 881-1362
AUSTIN ROBBINS DPT
Physical Therapist
1450 5TH ST SE STE 4400
PUYALLUP, WA 98372
Pierce County (253) 881-1362
ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS
Podiatrist (Primary Podiatric Medicine)
1450 5TH ST SE STE 4400
PUYALLUP, WA 98372
Pierce County (253) 841-2006
ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS
Podiatrist
1450 5TH ST SE STE 4400
PUYALLUP, WA 98372
Pierce County (253) 848-0131
ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS
Podiatrist
1450 5TH ST SE STE 4400
PUYALLUP, WA 98372
Pierce County (253) 848-0131

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 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.

Where is Tyler Rodericks located?

Tyler Rodericks practices at 1450 5th St SE Ste 4400, Puyallup, WA 98372. The listed phone number is (253) 848-0131.

What is Tyler Rodericks's specialty?

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

Is Tyler Rodericks enrolled in Medicare?

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

Which organizations bill Medicare for Tyler Rodericks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Rodericks reassigns Medicare benefits to 2 organizations: Ankle & Foot Specialists Of Puget Sound, Ps (Puyallup, WA) and Alexander Medical Group LLC (Largo, FL). 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 Rodericks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Rodericks accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tyler Rodericks 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 Rodericks affiliated with any hospitals?

According to CMS data, Tyler Rodericks is affiliated with Multicare Good Samaritan Hospital.

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 4 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.