DR. TYLER SCOTT DETTRO MD
NPI 1932636149
Emergency Medicine in Lansing, MI
About Dr. Tyler Scott Dettro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER SCOTT DETTRO MD (NPI 1932636149) is an individual emergency medicine provider in Lansing, Michigan, licensed in Michigan (4301501004) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Saint Louis University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
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 Scott Dettro 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tyler Dettro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- 295 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 444 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Greater Lansing
Acute Care Hospitals · Lansing, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LANSING, MI 48910
LANSING, MI 48910
LANSING, MI 48910
LANSING, MI 48910
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 Dettro's NPI number?
The NPI number for Tyler Dettro is 1932636149. It was assigned to this individual provider in the NPPES registry on May 18, 2017.
Where is Tyler Dettro located?
Tyler Dettro practices at 401 W Greenlawn Ave, Lansing, MI 48910. The listed phone number is (517) 975-6000.
What is Tyler Dettro's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tyler Dettro enrolled in Medicare?
Yes. Tyler Dettro 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 organizations bill Medicare for Tyler Dettro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Dettro reassigns Medicare benefits to 2 organizations: Degara App, PLLC (Lansing, MI) and Mclaren Hospital Group (Flint, MI). Each 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 Dettro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tyler Dettro affiliated with any hospitals?
According to CMS data, Tyler Dettro is affiliated with Mclaren Greater Lansing.
When was this NPI record last updated?
The NPPES record for Tyler Dettro was last updated on June 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Tyler Scott Dettro, MD · NPI 1932636149
Emergency Medicine physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since May 18, 2017.
## Identity
- **NPI:** 1932636149 (Entity type: Individual)
- **Enumerated:** May 18, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301501004 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 W GREENLAWN AVE, Lansing, MI 48910-2819
- **Phone:** (517) 975-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Degara App, PLLC (NPI 1265976971, Lansing, MI); Mclaren Hospital Group (NPI 1942026174, Flint, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** June 28, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1932636149) · Data from the CMS NPPES public registry.