Individual provider Active NPI

Tyler W Scoresby, M.D.

  • Otolaryngology Physician
  • Arlington, TX
National Provider Identifier
1396948568
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M6381 Issued in TX
Practice address
409 Central Park Dr
Arlington, TX 76014
Phone
(817) 261-9191
Fax
(817) 784-6880
NPI assigned
Jun 6, 2007
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X M6381 TX Primary

Addresses

Primary practice location

409 Central Park Dr
Arlington, TX 76014

Mailing address

409 Central Park Dr
Arlington, TX 76014
Phone (817) 261-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080102000224 TX Practitioner - Otolaryngology 3173603289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Southwestern Medical School at Dallas, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1005 York Dr
Desoto, TX 75115-2083
Phone (972) 780-1496

221 Regency Pkwy
Suite 111
Mansfield, TX 76063-6566
Phone (817) 261-9191

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-2139

409 Central Park Dr
Arlington, TX 76014-2069
Phone (817) 261-9191

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.78 of 100Reported as individual
Quality
89.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Park Ear Nose and Throat LLP Otolaryngology CurrentSince Jul 1, 2009 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Central Park Ear Nose and Throat, LLP Fort Worth Otolaryngology CurrentSince Jul 1, 2009 Accepting new patients
Texas Health Care, P.L.L.C. Otolaryngology CurrentSince Jun 1, 2025 Accepting new patients
Bachman Lake Emergency Physicians PLLC Past Accepting new patients

Locations

409 Central Park Dr
Arlington, TX 76014
Phone (817) 261-9191

3500 Gaston Ave
Dallas, TX 75246

221 Regency Pkwy
Ste 117
Mansfield, TX 76063
Phone (817) 477-3611

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: tyler.scoresby.p1@direct.thc.nextgenshare.com

Organizations & group practices 5

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1396948568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CENTRAL PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-261-9191",
            "fax_number": "817-784-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CENTRAL PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-261-9191",
            "fax_number": "817-784-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORESBY",
        "first_name": "TYLER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M6381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.