Individual provider Active NPI

Tymon Horn, DO

  • Emergency Medicine Physician
  • Cheboygan, MI
National Provider Identifier
1104311786
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101025951 Issued in MI
Practice address
748 S Main St
Cheboygan, MI 49721-2220
Phone
(231) 487-2490
NPI assigned
Jun 26, 2018
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101025951 MI Primary

Addresses

Primary practice location

748 S Main St
Cheboygan, MI 49721-2220

Mailing address

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone (616) 975-1845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210623001526 MI Practitioner - Emergency Medicine 1658784939 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians
Ecs Northern Michigan PCGroup PAC ID 3173892627, 24 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

748 S Main St
McLaren Northern Michigan Cheboygan
Cheboygan, MI 49721-2220
Phone (231) 627-7118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
79.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.92
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
82.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025951MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
Mackinac Straits Health System Inc Emergency Medicine Current Accepting new patients
Northern Michigan Emergency Physicians, LLP Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Nov 21, 2022 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Nov 21, 2022 Accepting new patients
Mackinac Straits Health System Inc Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Feb 1, 2024 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Ecs Northern Michigan PC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Ecs Western Michigan PC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

4100 Embassy Dr SE
Ste 400
Grand Rapids, MI 49546
Phone (616) 285-8075

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1104311786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EMBASSY DR SE STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462416",
            "telephone_number": "616-975-1845",
            "fax_number": "616-285-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 S MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-487-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "TYMON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101025951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

Verify at the official NPI Registry.