TYLER D INGERSOLL DO
NPI 1952939183
Family Medicine in Justin, TX

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
1976 TEXAN DR STE 106, JUSTIN, TX 76247(682) 212-9020 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2024, Apr 30, 2024, Apr 1, 2020 (3 updates tracked since 2020).

About Tyler D Ingersoll Do NPPES

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

TYLER D INGERSOLL DO (NPI 1952939183) is an individual family medicine provider in Justin, Texas, licensed in Texas (U8743) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Alliance, and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1952939183
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTYLER D INGERSOLLCredential: DO
Location Address1976 TEXAN DR STE 106Justin, TX 76247-6774
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705 · (918) 349-1500 · Fax (918) 439-1199
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
NPI 1952939183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · U8743
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License U8743 (TX)
1976 TEXAN DR STE 106, Justin, TX 76247

Secondary Practice Location 1

Location 12345 Southwest BlvdTulsa, OK 74107-2705 · Phone (918) 582-1980 · Fax (918) 561-1289

Accepted 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

Tyler D Ingersoll Do 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 ID8527433713
PECOS Enrollment IDI20240712002081
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.

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.
46 services28 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Alliance

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670085
Location10864 Texas Health TrailFort Worth, TX 76244 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76247 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.

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 Ingersoll's NPI number?

The NPI number for Tyler Ingersoll is 1952939183. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Tyler Ingersoll located?

Tyler Ingersoll practices at 1976 Texan Dr Ste 106, Justin, TX 76247. The listed phone number is (682) 212-9020.

What is Tyler Ingersoll's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tyler Ingersoll enrolled in Medicare?

Yes. Tyler Ingersoll 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 Tyler Ingersoll 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 Tyler Ingersoll 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 Tyler Ingersoll affiliated with any hospitals?

According to CMS data, Tyler Ingersoll is affiliated with Texas Health Harris Methodist Hospital Alliance.

When was this NPI record last updated?

The NPPES record for Tyler Ingersoll was last updated on July 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.