TYLER FANNING MD
NPI 1760987473
Psychiatry & Neurology - Psychiatry in Corvallis, OR

Q: What is Tyler Fanning's NPI number?

The NPI number for Tyler Fanning is 1760987473. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Tyler Fanning's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Fanning was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 26, 2018PECOS Enrolled

1112 NW CIRCLE BLVD, CORVALLIS, OR 97330(541) 768-5235 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2023, Aug 17, 2020, Mar 26, 2018 (3 updates tracked since 2018).

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About Tyler Fanning Md NPPES

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

TYLER FANNING MD (NPI 1760987473) is an individual psychiatry provider in Corvallis, Oregon, licensed in Oregon (MD216942) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760987473

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameTYLER FANNINGCredential: MD

Location Address1112 NW CIRCLE BLVDCorvallis, OR 97330-1462

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 768-5235

Sole ProprietorYes

Enumeration DateMarch 26, 2018

Last NPPES UpdateSeptember 19, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2023

✔ NPI 1760987473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in OR · MD216942✔ Licensed in VT · 042.0014873

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1112 NW CIRCLE BLVD, Corvallis, OR 97330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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 Fanning Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Fanning reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Good Samaritan Hospital Corvallis

Same address

Adolescent and Children Mental Health

1112 NW CIRCLE BLVD
Corvallis, OR 97330

Reassigned Medicare billing, Oregon enrollment
522 clinicians in this Medicare group

NPI 1417266511 (541) 768-1220

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 9

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

THIEN CHUONG RICHARD LY MD

Psychiatry & Neurology (Psychiatry)