TYLER NORTHRUP
NPI 1801530191
Emergency Medicine in Lewistown, MT

Q: What is Tyler Northrup's NPI number?

The NPI number for Tyler Northrup is 1801530191. It was assigned to this individual provider in the NPPES registry on April 23, 2022.

Q: What is Tyler Northrup's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Northrup was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 April 23, 2022PECOS Enrolled

408 WENDELL AVE, LEWISTOWN, MT 59457(406) 535-7711 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2026, Apr 23, 2022 (2 updates tracked since 2022).

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About Tyler Northrup NPPES

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

TYLER NORTHRUP (NPI 1801530191) is an individual emergency medicine provider in Lewistown, Montana, licensed in Montana (MED-PHYS-LIC-174119) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton Twp, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1801530191

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTYLER NORTHRUP

Location Address408 WENDELL AVELewistown, MT 59457-2261

Mailing Address408 Wendell AveLewistown, MT 59457-2261 · (406) 535-7711

Phone(406) 535-7711

Sole ProprietorYes

Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2022

Enumeration DateApril 23, 2022

Last NPPES UpdateJune 1, 20262 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1801530191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MT · MED-PHYS-LIC-174119

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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

408 WENDELL AVE, Lewistown, MT 59457

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Secondary Practice Location 1

Location 115855 19 Mile RdClinton Twp, MI 48038-3504 · Phone (586) 263-2300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.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 Northrup is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335507243

PECOS Enrollment IDI20260613000486

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

Central Montana Medical Facilities, Inc.

Same address

Emergency Medical Services

408 WENDELL AVE
Lewistown, MT 59457

Reassigned Medicare billing, Montana enrollment
Also billed through NPI 1790798387 (Montana)
83 clinicians in this Medicare group

NPI 1427161843 (406) 535-7711

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 59457 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

BRIAN L PRIEST M.D.

Emergency Medicine (Emergency Medical Services)