TYLER DUCKWORTH MD
NPI 1861986457
Anesthesiology in Plymouth, MN

Q: What is Tyler Duckworth's NPI number?

The NPI number for Tyler Duckworth is 1861986457. It was assigned to this individual provider in the NPPES registry on June 18, 2018. The provider is also known as Tyler Klobucher MD.

Q: What is Tyler Duckworth's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Duckworth was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment

14700 28TH AVE N STE 20, PLYMOUTH, MN 55447(763) 559-3779 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Jun 18, 2018 (2 updates tracked since 2018).

On this page

About Tyler Duckworth Md NPPES

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

TYLER DUCKWORTH MD (NPI 1861986457) is an individual anesthesiology provider in Plymouth, Minnesota, licensed in Minnesota (74369) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Gillette Childrens Specialty Hospital, and is a graduate of Mayo Medical School (2018).

NPPES Registry Identity

NPI1861986457

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameTYLER DUCKWORTHCredential: MD

Location Address14700 28TH AVE N STE 20Plymouth, MN 55447-4876

Mailing Address14700 28th Ave N Ste 20Plymouth, MN 55447-4876 · (763) 559-3779

Phone(763) 559-3779

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2018

Enumeration DateJune 18, 2018

Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2024

✔ NPI 1861986457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MN · 74369

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

14700 28TH AVE N STE 20, Plymouth, MN 55447

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Other Names 1

Former Name (1)Tyler Klobucher Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Tyler Duckworth 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 ID9638531718

PECOS Enrollment IDI20230822002005

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.

Hospital Affiliations CMS Care Compare

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

Gillette Childrens Specialty Hospital

Childrens · Saint Paul, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number243300

Location200 University Avenue EastSaint Paul, MN 55106 · Ramsey County

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.

PETER WILLIAM COLEMAN

Anesthesiology