DR. TYLER JUSTIN GLUCKMAN III M.D.
NPI 1790749422
Internal Medicine - Cardiovascular Disease in Portland, OR
About Dr. Tyler Justin Gluckman Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER JUSTIN GLUCKMAN III M.D. (NPI 1790749422) is an individual cardiovascular disease provider in Portland, Oregon, licensed in Oregon (MD26695) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Northwestern University Feinberg Medical School (1997).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 11
Accepted 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 Justin Gluckman Iii 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.
Medicare Billing Reassignments
8Medicare enrollment records show Tyler Gluckman reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 676 clinicians in this Medicare group
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 229 clinicians in this Medicare group
Oregon City, OR 97045
- Reassigned Medicare billing, Oregon enrollment
- 206 clinicians in this Medicare group
Newberg, OR 97132
- Reassigned Medicare billing, Oregon enrollment
- 198 clinicians in this Medicare group
Cannon Beach, OR 97110
- Reassigned Medicare billing, Oregon enrollment
- 301 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 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 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORProvidence Willamette Falls Medical Center
Acute Care Hospitals · Oregon City, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97225
PORTLAND, OR 97225
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 Gluckman's NPI number?
The NPI number for Tyler Gluckman is 1790749422. It was assigned to this individual provider in the NPPES registry on April 12, 2006. The provider is also known as Dr. Ty Justin Gluckman M.D..
Where is Tyler Gluckman located?
Tyler Gluckman practices at 9427 SW Barnes Rd Suite 498, Portland, OR 97225. The listed phone number is (503) 216-0900.
What is Tyler Gluckman's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Tyler Gluckman enrolled in Medicare?
Yes. Tyler Gluckman 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 Gluckman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Gluckman reassigns Medicare benefits to 8 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Providence Health & Services Oregon (Milwaukie, OR), Providence Health & Services - Oregon (Oregon City, OR) and 3 more organizations, listed in the Medicare section above. 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 Gluckman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Gluckman accept?
Health plans from Providence Health Plan list Tyler Gluckman 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 Gluckman affiliated with any hospitals?
According to CMS data, Tyler Gluckman is affiliated with Providence St Vincent Medical Center, Providence Willamette Falls Medical Center and Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Tyler Gluckman was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 Justin Gluckman III, M.D. · NPI 1790749422
Cardiovascular Disease physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 12, 2006.
## Identity
- **NPI:** 1790749422 (Entity type: Individual)
- **Enumerated:** April 12, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD26695 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9427 SW BARNES RD, SUITE 498, Portland, OR 97225-6652
- **Phone:** (503) 216-0900
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1033299458, Portland, OR); Providence Health & Services - Oregon (NPI 1114015971, Portland, OR); Providence Health & Services - Oregon (NPI 1003991845, Portland, OR); Providence Health & Services Oregon (NPI 1366536963, Milwaukie, OR); Providence Health & Services - Oregon (NPI 1003368911, Oregon City, OR); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern University Feinberg Medical School, class of 1997
## Record status
- **NPPES last updated:** December 18, 2012
- **Other identifiers:** Medicare PIN R156591 (OR); Medicare UPIN H20606 (OR); Medicare PIN R154644 (OR); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790749422) · Data from the CMS NPPES public registry.