Individual provider Active NPI

Tyler Geers

  • Dermatology Physician
  • Louisville, KY
National Provider Identifier
1093240038
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R4415 Issued in KY
Practice address
530 S Jackson St
Louisville, KY 40202-1675
Phone
(502) 562-3000
NPI assigned
Apr 27, 2017
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X R4415 KY Primary

Addresses

Primary practice location

530 S Jackson St
Louisville, KY 40202-1675

Mailing address

12108 Maplewood Rd
Goshen, KY 40026-9547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210409001906 KY Practitioner - Dermatology 8123443918 Reassigns benefits to 1 organization
I20230406002588 IN Practitioner - Dermatology 8123443918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology, PLLCGroup PAC ID 1658263876, 37 clinicians

Practice addresses (Care Compare)

2241 Green Valley Rd
New Albany, IN 47150-4647
Phone (502) 583-1749

3810 Springhurst Blvd
Louisville, KY 40241-6162
Phone (502) 583-1749

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision131
Removal of skin lesions633
Removal of skin cancer607
Removal or shaving of skin growth1-10
Skin biopsy186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology, PLLC Dermatology CurrentSince Mar 23, 2021 Accepting new patients

Locations

2512 Q St
Bedford, IN 47421
Phone (812) 675-4470

1005 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 280-7500

2241 Green Valley Rd
New Albany, IN 47150
Phone (812) 948-1148

700 Portland Ave
Ste B
Bardstown, KY 40004
Phone (270) 234-6695

506 S Main St
Leitchfield, KY 42754
Phone (270) 200-1095

3810 Springhurst Blvd
Ste 200
Louisville, KY 40241
Phone (502) 322-1946

9336 Cedar Center Way
Louisville, KY 40291
Phone 50242616211212

3810 Springhurst Blvd
Louisville, KY 40241
Phone (502) 322-1954

Interoperability endpoints

  • Direct secure messaging: tegeers@assocderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1093240038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 MAPLEWOOD RD",
            "city": "GOSHEN",
            "state": "KY",
            "postal_code": "400269547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-562-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEERS",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "R4415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.