MR. WILLIAM DALE TALLMADGE ACNP
NPI 1912080813
Nurse Practitioner - Acute Care in Tyler, TX

Q: What is William Tallmadge's NPI number?

The NPI number for William Tallmadge is 1912080813. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is William Tallmadge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for William Tallmadge was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 23, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7777 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2016, Jan 11, 2016 (2 updates tracked since 2016).

On this page

About Mr. William Dale Tallmadge Acnp NPPES

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

MR. WILLIAM DALE TALLMADGE ACNP (NPI 1912080813) is an individual acute care provider in Tyler, Texas, licensed in Texas (664571) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1912080813

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMR. WILLIAM DALE TALLMADGECredential: ACNP

Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154

Mailing AddressPo Box 731912Dallas, TX 75373-1912 · (903) 877-7777

Phone(903) 877-7777

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateOctober 23, 2006

Last NPPES UpdateSeptember 19, 20162 updates tracked since enumeration

✔ NPI 1912080813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 664571

11937 US HIGHWAY 271, Tyler, TX 75708

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mr. William Dale Tallmadge Acnp 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 ID6103928668

PECOS Enrollment IDI20070301000361

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.

Areas of Expertise CMS Part B claims 4

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.

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.

305 services165 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

71 services11 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

32 services28 patients

Telephone medical discussion with physician, 11-20 minutes 99442

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX

OwnershipProprietary

CMS Certification Number450475

Location300 Wilson StreetHenderson, TX 75652 · Rusk County

Emergency services Birthing friendly

The University Of Texas Health Science Center At Tyler

Acute Care Hospitals · Tyler, TX

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450690

Location11937 Us Highway 271Tyler, TX 75708 · Smith County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

18 suppliers190 claims190 services$38.61 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers38 claims74 services$1.68 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

3 suppliers15 claims15 services$1.34 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

20 suppliers235 claims235 services$98.39 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

20 suppliers247 claims695 services$37.01 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

15 suppliers102 claims576 services$21.33 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

13 suppliers69 claims379 services$14.60 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

23 suppliers182 claims182 services$59.34 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

30 suppliers240 claims240 services$19.25 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

24 suppliers219 claims219 services$17.23 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

32 suppliers412 claims2,388 services$2.48 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

13 suppliers58 claims58 services$6.87 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

25 suppliers143 claims143 services$12.64 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

8 suppliers47 claims63 services$16.94 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers36 claims36 services$908.52 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

8 suppliers50 claims52 services$99.90 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

3 suppliers24 claims24 services$833.95 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers11 claims11 services$165.84 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers51 claims55 services$16.14 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers59 claims67 services$5.83 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

13 suppliers191 claims207 services$38.58 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers99 claims110 services$88.34 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers26 claims26 services$34.04 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims960 services$4.40 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier26 claims1,560 services$6.56 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers49 claims10,352 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers18 claims900 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers57 claims3,360 services$0.81 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers26 claims1,664 services$0.16 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier22 claims115,500 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers101 claims101 services$25.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER

Psychiatric Unit

11937 US HIGHWAY 271
TYLER, TX 75708

Smith County (903) 877-7200

TYLER DAVIS DO

Surgery (Trauma Surgery)

11937 US HIGHWAY 271
TYLER, TX 75708

Smith County (903) 877-7777

PATRICIA DIANNE SHACKELFORD

Pharmacist

11937 US HIGHWAY 271
TYLER, TX 75708

Smith County (903) 877-7088

JENNIFER ANNISA MATHEW DO

Student in an Organized Health Care Education/Training Program

11937 US HIGHWAY 271
TYLER, TX 75708

Smith County (903) 877-7200

JASMINE MARIE GAMBOA MD

Student in an Organized Health Care Education/Training Program

11937 US HIGHWAY 271
TYLER, TX 75708

Smith County (903) 877-7200

DR. SADIE ROSE WALTER DO

Student in an Organized Health Care Education/Training Program

11937 US HIGHWAY 271
TYLER, TX 75708

Smith County (903) 877-7200

RENDALL NORTHCUTT FNP

Nurse Practitioner (Primary Care)

11937 US HIGHWAY 271
TYLER, TX 75708

Smith County (903) 877-7200

ES-HAQ SADDELDIN HASSANIN DO

Hospitalist

11937 US HIGHWAY 271
TYLER, TX 75708

Smith County (903) 877-7253

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 William Tallmadge's NPI number?

The NPI number for William Tallmadge is 1912080813. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is William Tallmadge located?

William Tallmadge practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7777.

What is William Tallmadge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is William Tallmadge enrolled in Medicare?

Yes. William Tallmadge 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.

What insurance does William Tallmadge accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list William Tallmadge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Tallmadge affiliated with any hospitals?

According to CMS data, William Tallmadge is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital, Ut Health East Texas Henderson Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for William Tallmadge was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.