DR. TYLER JUSTIN GLUCKMAN III M.D.
NPI 1790749422
Internal Medicine - Cardiovascular Disease in Portland, OR

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
99.99/100
CMS Quality Rating
9427 SW BARNES RD, SUITE 498, PORTLAND, OR 97225(503) 216-0900 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1790749422
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. TYLER JUSTIN GLUCKMAN IIICredential: M.D.
Location Address9427 SW BARNES RD, SUITE 498Portland, OR 97225-6652
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997
Enumeration DateApril 12, 2006
Last NPPES UpdateDecember 18, 2012
NPI 1790749422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in OR · MD26695 Licensed in MD · D0058894
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
9427 SW BARNES RD, Portland, OR 97225

Other Names 1

Other Name (5)Dr. Ty Justin Gluckman M.d.

Other Identifiers 11

Medicare PINR156591OR
Medicare UPINH20606OR
Medicare PINR154644OR
Medicare PINR156015OR
Medicare PINR134784OR
Medicaid240072OR
OtherP00848623OR · Rr Medicare
Medicare PINR159875OR
OtherP00348434OR · Rr Medicare
Medicare PING8905161WA
Medicare PINR154588OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2466464862
PECOS Enrollment IDI20060630000075
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.

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.

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.
61 services60 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
50 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services45 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
20 services20 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician 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.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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.

99.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.41
Promoting Interoperability100
Improvement Activities40
Cost100

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.

Advanced Practice Midwife
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Surgery
9427 SW BARNES RD, SUITE 596
PORTLAND, OR 97225
Nurse Practitioner (Family)
9427 SW BARNES RD, SUITE 595
PORTLAND, OR 97225
Pediatrics
9427 SW BARNES RD, SUITE 396
PORTLAND, OR 97225
Pediatrics
9427 SW BARNES RD, SUITE 598
PORTLAND, OR 97225
Obstetrics & Gynecology
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Obstetrics & Gynecology (Gynecology)
9427 SW BARNES RD, SUITE 599
PORTLAND, OR 97225
Internal Medicine (Clinical Cardiac Electrophysiology)
9427 SW BARNES RD, STE 490
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.

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 Newberg 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 with the weekly NPPES data releases published by CMS.