Individual provider Active NPI

Tyler Manson, DPM

  • Podiatrist
  • Lake Oswego, OR
National Provider Identifier
1679833131
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP186203 Issued in OR
Practice address
55 S State St Ste 3220
Lake Oswego, OR 97034-3975
Phone
(503) 635-7742
NPI assigned
May 17, 2012
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP186203 OR Primary

Addresses

Primary practice location

55 S State St Ste 3220
Lake Oswego, OR 97034-3975

Mailing address

55 S State St Ste 3220
Lake Oswego, OR 97034-3975
Phone (503) 635-7742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001380 OR Practitioner - Podiatry 2961711767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 S State St
Suite 3220
Lake Oswego, OR 97034-3975
Phone (503) 635-7742

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.69 of 100Reported as group
Quality
79.38
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions162
Removal of nail tissue664
Removal or shaving of skin growth582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Institute of Foot Care LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Santiam Foot Clinic, PC Single Specialty CurrentSince Jun 18, 2018 Accepting new patients
John T. Callahan, DPM Single Specialty PastSince Jun 18, 2018 Accepting new patients
Myles Knutson, DPM, LLC Single Specialty PastSince Sep 1, 2021 Accepting new patients
Quality Podiatry Group of FL LTD Single Specialty Past Accepting new patients

Locations

27 S State St
Ste 3220
Lake Oswego, OR 97034
Phone (503) 635-7742

55 S State St
Ste 3220
Lake Oswego, OR 97034
Phone (503) 635-7742

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 1

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1679833131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S STATE ST STE 3220",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343975",
            "telephone_number": "503-635-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S STATE ST STE 3220",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343975",
            "telephone_number": "503-635-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSON",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP186203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.