TYLER RANDOLPH CLARK MD
NPI 1831453778
Orthopaedic Surgery - Hand Surgery in Walnut Creek, CA
About Tyler Randolph Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER RANDOLPH CLARK MD (NPI 1831453778) is an individual hand surgery provider in Walnut Creek, California, licensed in California (A161868) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Walnut Creek, and is a graduate of Tulane University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Tyler Randolph Clark Md 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 Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 211 clinicians in this Medicare group
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 810 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 30
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94598 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WALNUT CREEK, CA 94598
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 Clark's NPI number?
The NPI number for Tyler Clark is 1831453778. It was assigned to this individual provider in the NPPES registry on June 26, 2012.
Where is Tyler Clark located?
Tyler Clark practices at 2625 Shadelands Dr, Walnut Creek, CA 94598. The listed phone number is (925) 939-8585.
What is Tyler Clark's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.
Is Tyler Clark enrolled in Medicare?
Yes. Tyler Clark 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 Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Clark reassigns Medicare benefits to 2 organizations: Golden State Orthopedics & Spine (Walnut Creek, CA) and John Muir Trauma Physicians Billing Service (Walnut Creek, CA). 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 Clark'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 Clark was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.