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DR. TYLER XAVIER DE SOUZA O.D.
NPI 1972988525
Optometrist in Tempe, AZ

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment
1831 E BUENA VISTA DR, TEMPE, AZ 85284(929) 335-1243 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tyler Xavier De Souza O.d. NPPES

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

DR. TYLER XAVIER DE SOUZA O.D. (NPI 1972988525) is an individual optometrist in Tempe, Arizona, licensed in Arizona (OPT-002306) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2015).

NPPES Registry Identity

NPI1972988525
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TYLER XAVIER DE SOUZACredential: O.D.
Location Address1831 E BUENA VISTA DRTempe, AZ 85284-2501
Mailing Address6895 E Camelback Rd Unit 3015Scottsdale, AZ 85251-2480
Phone(929) 335-1243
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2015
Enumeration DateJuly 24, 2015
Last NPPES UpdateMay 30, 2019
✔ NPI 1972988525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in AZ · OPT-002306✔ Licensed in NY · TUV008345
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1831 E BUENA VISTA DR, Tempe, AZ 85284
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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 Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

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 Xavier De Souza O.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 ID9739497637
PECOS Enrollment IDI20190410002133
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 De Souza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Onesource Senior Healthcare PLLC
20 mi
Podiatrist
16427 N SCOTTSDALE RD STE 410
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Arizona enrollment
  • 21 clinicians in this Medicare group
NPI 1508272188 (888) 495-4489

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 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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
822 services821 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
452 services364 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
254 services227 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
113 services113 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85284 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 De Souza's NPI number?

The NPI number for Tyler De Souza is 1972988525. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Where is Tyler De Souza located?

Tyler De Souza practices at 1831 E Buena Vista Dr, Tempe, AZ 85284. The listed phone number is (929) 335-1243.

What is Tyler De Souza's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tyler De Souza enrolled in Medicare?

Yes. Tyler De Souza 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 organization bills Medicare for Tyler De Souza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler De Souza reassigns Medicare benefits to Onesource Senior Healthcare PLLC (Scottsdale, AZ). The 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 De Souza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler De Souza accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Blue Cross Blue Shield of Wyoming and 5 other insurers list Tyler De Souza 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.

When was this NPI record last updated?

The NPPES record for Tyler De Souza was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.