Tyler Mason Corey, M.D.
Individual provider Active NPI Emergency Medicine Physician · Elizabethtown, KY
NPI 1508090630 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1508090630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 45495 (KY)
- Practice address
- 913 N Dixie Ave
Elizabethtown, KY 42701-2503 - Phone
- (877) 783-6257
- Fax
- (859) 514-5521
- NPI assigned
- May 4, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.76 of 100
- Quality
- 81.95
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000161 | KY | Practitioner - Emergency Medicine | 9739355389 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45495 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Emergency Medicine Associates PSC | Emergency Medicine | Current |
Accepting new patients |
| University Medical Center, Inc | Emergency Medicine | Past | Accepting new patients |
| Kentuckiana Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Ky-I Medical Services, P.S.C. | Past | Accepting new patients |
Locations
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 45495 | KY | Yes |
Addresses
Primary practice location
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Mailing address
PO Box 910530
Lexington, KY 40591-0530
Phone (877) 783-6257
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100135150 | Medicaid | KY | |
| K023591 | Other | KY | MEDICARE PTAN- NICC |
Other providers in Elizabethtown, KY
- Mary Elizabeth Cooper
- Kevin Alan Copley
- Angela Marie Corbett
- Mariah Kate Corbin
- Paula B Cordova
- Lauren N Cornelius
- Cornerstone Caregiving East LLC
- Nicole Corral
- Sherri Lynn Corriveau
- Aaron Scott Cossitt
All providers in Elizabethtown, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.