JAMES GERARD TYBURSKI MD
NPI 1922045913
Surgery in Detroit, MI

Q: What is James Tyburski's NPI number?

The NPI number for James Tyburski is 1922045913. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is James Tyburski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Tyburski was last updated on November 3, 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 May 31, 2006PECOS EnrolledAccepts Medicare Assignment

4160 JOHN R ST, SUITE 615, DETROIT, MI 48201(313) 745-4195(313) 993-8669 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About James Gerard Tyburski Md NPPES

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

JAMES GERARD TYBURSKI MD (NPI 1922045913) is an individual surgery provider in Detroit, Michigan, licensed in Michigan (4301051853) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Detroit Receiving Hospital, and is a graduate of State University Of Ny Upstate Medical University (1987).

NPPES Registry Identity

NPI1922045913

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES GERARD TYBURSKICredential: MD

Location Address4160 JOHN R ST, SUITE 615Detroit, MI 48201-2020

Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (313) 745-4195 · Fax (313) 993-8669

Phone(313) 745-4195

Fax(313) 993-8669

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1987

Enumeration DateMay 31, 2006

Last NPPES UpdateNovember 3, 2016

✔ NPI 1922045913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301051853

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 4301051853 (MI)

4160 JOHN R ST, Detroit, MI 48201

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Other Identifiers 1

Medicare PIN0P30630143MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

James Gerard Tyburski 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 ID7012803844

PECOS Enrollment IDI20041203000257

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services11 patients

Hospital Affiliations CMS Care Compare

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

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230273

Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$3.81 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims440 services$0.06 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims550 services$0.19 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier11 claims275 services$0.19 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.

ASHRAF ELSDEEK MOHAMED M.D.

Psychiatry & Neurology (Neurology)

4160 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 833-8467

CHARLES EDWARD LUCAS MD

Surgery

4160 JOHN R ST, SUITE 615
DETROIT, MI 48201

Wayne County (313) 745-4195

DR. JOYA A GANGULY MD

Internal Medicine (Clinical Cardiac Electrophysiology)

4160 JOHN R ST, SUITE 510
DETROIT, MI 48201

Wayne County (313) 993-7777

YOUNG HO SOHN MD PLLC

Specialist

4160 JOHN R ST, SUITE 515
DETROIT, MI 48201

Wayne County (313) 832-1440

KARIN CALVITI

Audiologist

4160 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 966-9471

MICHELLE BASTIEN CNP RN BSN MSN OCN

Nurse Practitioner

4160 JOHN R ST, SUITE 917
DETROIT, MI 48201

Wayne County (313) 745-4525

ANNA MARIE LEDGERWOOD MD

Surgery

4160 JOHN R ST, STE 615
DETROIT, MI 48201

Wayne County (313) 745-4195

DR. PRAVIT CADNAPAPHORNCHAI MD

Internal Medicine (Nephrology)

4160 JOHN R ST, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201

Wayne County (313) 745-4525

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 James Tyburski's NPI number?

The NPI number for James Tyburski is 1922045913. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is James Tyburski located?

James Tyburski practices at 4160 John R St Suite 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is James Tyburski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Tyburski enrolled in Medicare?

Yes. James Tyburski 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 James Tyburski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list James Tyburski 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 James Tyburski affiliated with any hospitals?

According to CMS data, James Tyburski is affiliated with Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for James Tyburski was last updated on November 3, 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.