DR. TYLER JOHN ULBRICH M.D.
NPI 1801139795
Internal Medicine in Saint Paul, MN

Active since March 29, 2013PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456(651) 254-9673 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2016, Jun 23, 2016 (2 updates tracked since 2016).

About Dr. Tyler John Ulbrich M.d. NPPES

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

DR. TYLER JOHN ULBRICH M.D. (NPI 1801139795) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (58859) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2013).

NPPES Registry Identity

NPI1801139795
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TYLER JOHN ULBRICHCredential: M.D.
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing AddressPo Box 1309, 8170 33rd Ave S - Mail Stop 21110qMinneapolis, MN 55425-4516 · (651) 254-3456 · Fax (651) 254-9673
Fax(651) 254-9673
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2013
Enumeration DateMarch 29, 2013
Last NPPES UpdateAugust 30, 20162 updates tracked since enumeration
✔ NPI 1801139795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 58859
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 58859 (MN), 65475-20 (WI)
640 JACKSON ST, Saint Paul, MN 55101

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 John Ulbrich 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 ID8224357975
PECOS Enrollment IDI20150501000818, I20160616000979
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 Reassignments

9

Medicare enrollment records show Tyler Ulbrich reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
Critical Access
405 STAGELINE RD
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1396849303 (Wisconsin)
  • 158 clinicians in this Medicare group
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 453 clinicians in this Medicare group
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
General Acute Care Hospital
1095 HIGHWAY 15 S
Hutchinson, MN 55350
  • Reassigned Medicare billing, Minnesota enrollment
  • 253 clinicians in this Medicare group
Critical Access Hospital
100 HEALTHY WAY
Olivia, MN 56277
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1629091871 (Minnesota)
  • 125 clinicians in this Medicare group
General Acute Care Hospital
855 MANKATO AVE
Winona, MN 55987
  • Reassigned Medicare billing, Minnesota enrollment
  • 330 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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients

Hospital Affiliations CMS Care Compare 5

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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 20

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

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Ulbrich's NPI number?

The NPI number for Tyler Ulbrich is 1801139795. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Tyler Ulbrich located?

Tyler Ulbrich practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Tyler Ulbrich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tyler Ulbrich enrolled in Medicare?

Yes. Tyler Ulbrich 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 Ulbrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Ulbrich reassigns Medicare benefits to 9 organizations: Group Health, Inc. (Saint Paul, MN), Park Nicollet Clinic (Minneapolis, MN), Hudson Hospital, Inc. (Hudson, WI), Westfields Hospital, Inc. (New Richmond, WI), St. Croix Regional Medical Center (Saint Croix Falls, WI) and 4 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 Ulbrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tyler Ulbrich affiliated with any hospitals?

According to CMS data, Tyler Ulbrich is affiliated with Lakeview Memorial Hospital, Regions Hospital, Hudson Hospital, St Croix Regional Medical Center and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Tyler Ulbrich was last updated on August 30, 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.