DR. TYLER JOHNSTON M.D.
NPI 1881031177
Orthopaedic Surgery - Sports Medicine in Orange, CA

Q: What is Tyler Johnston's NPI number?

The NPI number for Tyler Johnston is 1881031177. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Q: What is Tyler Johnston's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Johnston was last updated on July 17, 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 May 28, 2013PECOS EnrolledAccepts Medicare Assignment

101 THE CITY DR S BLDG 29A, ORANGE, CA 92868(714) 456-7801 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2024, Jul 10, 2024, Feb 21, 2023 and 2 more (5 updates tracked since 2019).

On this page

About Dr. Tyler Johnston M.d. NPPES

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

DR. TYLER JOHNSTON M.D. (NPI 1881031177) is an individual sports medicine provider in Orange, California, licensed in California (A131801) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Stanford University School Of Medicine (2013).

NPPES Registry Identity

NPI1881031177

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. TYLER JOHNSTONCredential: M.D.

Location Address101 THE CITY DR S BLDG 29AOrange, CA 92868-3201

Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986

Phone(714) 456-7801

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2013

Enumeration DateMay 28, 2013

Last NPPES UpdateJuly 17, 20245 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1881031177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · A131801

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A131801 (CA)

101 THE CITY DR S BLDG 29A, Orange, CA 92868

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Secondary Practice Locations 2

Location 1300 Pasteur Dr, Room HC435Stanford, CA 94305-2200 · Phone (650) 723-5948

Location 2Duke University Medical CenterDurham, NC 27710-2200 · Phone (919) 668-1894

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

Dr. Tyler Johnston M.d. 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 ID4789012170

PECOS Enrollment IDI20200318001391

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

Regents Of The University Of California

0.1 mi

Orthopaedic Surgery

101 THE CITY DR S
Orange, CA 92868

Reassigned Medicare billing, California enrollment
61 clinicians in this Medicare group

NPI 1356399703 (714) 456-3905

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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

290 services52 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

185 services126 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

166 services121 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

102 services73 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

92 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

82 services70 patients

Aspiration and/or injection of fluid from large joint 20610

74 services53 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

45 services45 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

39 services39 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

38 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

20 services20 patients

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.

JUSTIN HAGHVERDIAN MD

Orthopaedic Surgery (Foot and Ankle Surgery)