Individual provider Active NPI

Tyler R Wayment, M.D.

  • Plastic Surgery Physician
  • Twin Falls, ID
National Provider Identifier
1669423539
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M9557 Issued in ID
Practice address
738 N College Rd
Suite a
Twin Falls, ID 83301-3385
Phone
(208) 814-7000
Fax
(208) 734-7294
NPI assigned
May 15, 2006
Last updated
Jan 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X M9557 ID Primary
Orthopaedic Hand Surgery Physician 207XS0106X M9557 ID

Addresses

Primary practice location

738 N College Rd
Suite a
Twin Falls, ID 83301-3385

Mailing address

PO Box 587
Twin Falls, ID 83303-0587
Phone (208) 814-7400

Other identifiers 2

IdentifierTypeStateIssuer
807460000MedicaidID
P00721156OtherIDMCRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WY2 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
I20060804000117 ID Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 8325053630 Reassigns benefits to 2 organizations
I20251002002108 WY Practitioner - Plastic and Reconstructive Surgery 8325053630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Utah School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sciuridae Boyz PLLCGroup PAC ID 4880043678, 15 clinicians

Practice addresses (Care Compare)

738 N College Rd
Suite B
Twin Falls, ID 83301-3386
Phone (208) 735-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

Merit-based Incentive Payment System (MIPS)

Final score
48.31 of 100Reported as group
Quality
45.81
Promoting interoperability
0
Improvement activities
40
Cost
65.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)48
Melanoma (skin cancer) excision28
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9557IDMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Lakes Anesthesia CurrentSince Jan 20, 2026 Accepting new patients
Paramount Surgical Services LLC CurrentSince Jan 20, 2026 Accepting new patients
Sciuridae Boyz, PLLC Orthopaedic Surgery CurrentSince Nov 1, 2023 Accepting new patients
St Luke's Clinic LLC CurrentSince Jul 1, 2008 Accepting new patients
Aspen Mountain Physician Practice Management LLC Orthopaedic Surgery CurrentSince Jul 4, 2025 Accepting new patients
Minidoka Memorial Hospital Orthopaedic Surgery Past Accepting new patients
Minidoka Memorial Hospital Past Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

115 Falls Ave W
Twin Falls, ID 83301
Phone (208) 732-8784

738 N College Rd
Ste A
Twin Falls, ID 83301
Phone (208) 814-5075

738 N College Rd
Ste B
Twin Falls, ID 83301
Phone (208) 735-3600

738 N College Rd
Ste C
Twin Falls, ID 83301
Phone (208) 327-5600

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

775 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

4401 College Dr
Rock Springs, WY 82901
Phone (307) 352-8900

Organizations & group practices 8

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 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1669423539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030587",
            "telephone_number": "208-814-7400",
            "fax_number": "208-814-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 N COLLEGE RD",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013385",
            "telephone_number": "208-814-7000",
            "fax_number": "208-734-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMENT",
        "first_name": "TYLER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "ID",
            "license": "M9557",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "M9557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807460000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P00721156",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.