TYLER STEPHEN MD
NPI 1861929812
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since May 20, 2017PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE, ROCHESTER, NY 14642(855) 275-0526 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2021, May 20, 2017 (2 updates tracked since 2017).

About Tyler Stephen Md NPPES

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

TYLER STEPHEN MD (NPI 1861929812) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861929812
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER STEPHENCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-7141
Mailing Address601 Elmwood Ave Box 689Rochester, NY 14642-0001 · (855) 275-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 20, 2017
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1861929812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
601 ELMWOOD AVE, Rochester, NY 14642

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 Stephen 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.

PECOS PAC ID3577079268
PECOS Enrollment IDI20250721000962
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

3

Medicare enrollment records show Tyler Stephen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infectious Disease
601 ELMWOOD AVE, BOX 689
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 48 clinicians in this Medicare group
Pediatric Infectious Diseases
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 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.

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Stephen's NPI number?

The NPI number for Tyler Stephen is 1861929812. It was assigned to this individual provider in the NPPES registry on May 20, 2017.

Where is Tyler Stephen located?

Tyler Stephen practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (855) 275-0526.

What is Tyler Stephen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Stephen enrolled in Medicare?

Yes. Tyler Stephen 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 Stephen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Stephen reassigns Medicare benefits to 3 organizations: Infectious Disease Clinical (Rochester, NY), Pediatric Infectious Diseases (Rochester, NY) and University Of Rochester (Rochester, NY). 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 Stephen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tyler Stephen affiliated with any hospitals?

According to CMS data, Tyler Stephen is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Stephen was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.