Active NPI
Tyler Koestner
- Surgical Critical Care Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 53846
- Practice address
- 800 Rose St
Lexington, KY 40536-2104 - Phone
- (859) 323-6013
- NPI assigned
- Apr 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Critical Care Physician | 2086S0102X | 53846 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-2104
Mailing address
911 Hillsboro Rd
Franklin, TN 37064-2015
Other practice location 1
960 E 3rd St
Suite 104
Chattanooga, TN 37403-2104
Phone (423) 778-7695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1213 E Clay St
Richmond, VA 23298-5071
Phone (804) 828-9000
Hospital & facility affiliations
- Medical College of Virginia Hospitals
- Community Memorial Hospital
- Bon Secours Memorial Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 827-8000
1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
659 Hospital Rd
Ste 203
Tappahannock, VA 22560
Phone (804) 443-6232
Interoperability endpoints
- tkoestner33340@ukhcdirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Regional Medical Center
- General Acute Care Hospital
- Mechanicsville, VA
- NPI 1912969064
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1053739284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 HILLSBORO RD",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370642015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405362104",
"telephone_number": "859-323-6013"
}
],
"practiceLocations": [
{
"address_1": "960 E 3rd St",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374032104",
"country_code": "US",
"telephone_number": "423-778-7695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOESTNER",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-04",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "KY",
"license": "53846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.