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TYLER DUCKWORTH MD
NPI 1861986457
Anesthesiology in Plymouth, MN

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: November 01, 2026.

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

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

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 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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Duckworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metropolitan Anesthesia Network, LLP
Same address
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
NPI 1558314427 (763) 559-3779

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.

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
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (635) 593-7797
MEGAN ANN BORELLI
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
NICKOLAS C SOUTHWICK CRNA
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
LORNA BECHTEL
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3379
ANNA SPILLERS
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
KATHRYN MARIE HUBER SRNA
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
DR. JEFFREY MARK WISE II DO
Anesthesiology
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
MRS. GRETA SCHILLING HUNT CRNA
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779

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 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.

Where is Tyler Duckworth located?

Tyler Duckworth practices at 14700 28th Ave N Ste 20, Plymouth, MN 55447. The listed phone number is (763) 559-3779.

What is Tyler Duckworth's specialty?

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

Is Tyler Duckworth enrolled in Medicare?

Yes. Tyler Duckworth 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 organization bills Medicare for Tyler Duckworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Duckworth reassigns Medicare benefits to Metropolitan Anesthesia Network, LLP (Plymouth, MN). The 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 Duckworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tyler Duckworth affiliated with any hospitals?

According to CMS data, Tyler Duckworth is affiliated with Gillette Childrens Specialty Hospital.

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.