DR. TYLER JOSEPH THOMPSON DO
NPI 1770141004
General Practice in Stockton, CA
About Dr. Tyler Joseph Thompson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER JOSEPH THOMPSON DO (NPI 1770141004) is an individual general practice provider in Stockton, California, licensed in California (20A20365) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 Joseph Thompson Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tyler Thompson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10024
- Reassigned Medicare billing, New York enrollment
- 75 clinicians in this Medicare group
Lindenhurst, NY 11757
- Reassigned Medicare billing, New York enrollment
- 348 clinicians in this Medicare group
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 6
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.
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.
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
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 Thompson's NPI number?
The NPI number for Tyler Thompson is 1770141004. It was assigned to this individual provider in the NPPES registry on June 1, 2019.
Where is Tyler Thompson located?
Tyler Thompson practices at 1800 N California St, Stockton, CA 95204. The listed phone number is (209) 547-5716.
What is Tyler Thompson's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Tyler Thompson enrolled in Medicare?
Yes. Tyler Thompson 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 Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Thompson reassigns Medicare benefits to 2 organizations: Progressive Care Medical Group, PLLC (New York, NY) and Southwest Suffolk Medical PC (Lindenhurst, NY). 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 Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tyler Thompson was last updated on November 28, 2022. 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.
# Dr. Tyler Joseph Thompson, DO · NPI 1770141004
General Practice physician in Stockton, California. Individual provider, active in the CMS NPPES registry since June 1, 2019.
## Identity
- **NPI:** 1770141004 (Entity type: Individual)
- **Enumerated:** June 1, 2019
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 20A20365 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1800 N CALIFORNIA ST, Stockton, CA 95204-6019
- **Phone:** (209) 547-5716
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Progressive Care Medical Group, PLLC (NPI 1295263796, New York, NY); Southwest Suffolk Medical PC (NPI 1770919763, Lindenhurst, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western Un Of Hlth Sciences, Col Of Podiatric Med, class of 2021
## Record status
- **NPPES last updated:** November 28, 2022
- **Other identifiers:** Medicaid 95171623G (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1770141004) · Data from the CMS NPPES public registry.