DR. TYLER ADAM PEZALSKI M.D.
NPI 1760643472
Anesthesiology in State College, PA

Q: What is Tyler Pezalski's NPI number?

The NPI number for Tyler Pezalski is 1760643472. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Q: What is Tyler Pezalski's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Pezalski was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment

1800 E PARK AVE, STATE COLLEGE, PA 16803(814) 231-7100 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Tyler Adam Pezalski M.d. NPPES

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

DR. TYLER ADAM PEZALSKI M.D. (NPI 1760643472) is an individual anesthesiology provider in State College, Pennsylvania, licensed in Pennsylvania (MD457219) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2008).

NPPES Registry Identity

NPI1760643472

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. TYLER ADAM PEZALSKICredential: M.D.

Location Address1800 E PARK AVEState College, PA 16803-6709

Mailing AddressPo Box 16State College, PA 16804-0016 · (814) 466-5090 · Fax (814) 466-5095

Phone(814) 231-7100

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2008

Enumeration DateJune 24, 2008

Last NPPES UpdateSeptember 14, 2016

✔ NPI 1760643472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in PA · MD457219✔ Licensed in NC · 2012-02188✔ Licensed in VA · 0101246832

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1800 E PARK AVE, State College, PA 16803

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Other Identifiers 2

Medicaid1031202100001PA

Medicare PIN509194H0XPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Tyler Adam Pezalski M.d. 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 ID3476798273

PECOS Enrollment IDI20160706000050

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 Reassignment

Medicare enrollment records show Tyler Pezalski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Nittany Medical Center

Same address

Anesthesiology

155 WELLNESS WAY
State College, PA 16803

Reassigned Medicare billing, Pennsylvania enrollment
62 clinicians in this Medicare group

NPI 1528321015 (814) 231-7168

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 9

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.

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

57 services57 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

37 services37 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

35 services35 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

34 services34 patients

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

19 services19 patients

Anesthesia for open or endoscopic total shoulder joint replacement 01638

Anesthesia for total shoulder joint replacement, either open or endoscopic, involves using medications to block pain during surgery. It can be general (you're asleep) or regional (only the area being operated on is numbed). This ensures comfort and stillness, facilitating a successful procedure.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390268

Location1800 East Park AveState College, PA 16803 · Centre County

Emergency services Birthing friendly

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. RYAN R RIDENOUR DO

Hospitalist

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 278-4818

SETH CANNER CRNA

Nurse Anesthetist, Certified Registered

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 231-7000

MISS HEATHER LE HARPSTER MS, RD, LDN

Dietitian, Registered

1800 E PARK AVE, NUTRITION AND CULINARY SERVICES
STATE COLLEGE, PA 16803

Centre County (814) 231-7194

ASHLEY MARIE BOWSER PA-C

Physician Assistant

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 278-4818

MS. LINDSAY MARIE SCHANCK PA-C

Emergency Medicine

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 278-4851

MRS. HEATHER JO WALKER CRNA

Nurse Anesthetist, Certified Registered

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 231-7000

WILLIAM H JUSTICE MD

Anesthesiology

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 231-7000

DR. KEVIN ALLAN MISHOCK D.O.

Emergency Medicine (Emergency Medical Services)

1800 E PARK AVE, MOUNT NITTANY MEDICAL CENTER
STATE COLLEGE, PA 16803

Centre County (814) 234-6110

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 Pezalski's NPI number?

The NPI number for Tyler Pezalski is 1760643472. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Tyler Pezalski located?

Tyler Pezalski practices at 1800 E Park Ave, State College, PA 16803. The listed phone number is (814) 231-7100.

What is Tyler Pezalski's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Tyler Pezalski enrolled in Medicare?

Yes. Tyler Pezalski 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 organization bills Medicare for Tyler Pezalski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Pezalski reassigns Medicare benefits to Mount Nittany Medical Center (State College, PA). The 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 Pezalski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Pezalski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tyler Pezalski 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 Pezalski affiliated with any hospitals?

According to CMS data, Tyler Pezalski is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Tyler Pezalski was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.