Individual provider Active NPI

Tyler Clay Ulmer, DO

  • Family Medicine Physician
  • Kerrville, TX
National Provider Identifier
1801419627
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U2347 Issued in TX
Practice address
1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535
Phone
(830) 258-7762
NPI assigned
May 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U2347 TX Primary

Addresses

Primary practice location

1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535

Mailing address

1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535
Phone (830) 258-7762

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
I20230810003303 TX Practitioner - Family Practice 7618398546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

3540 Hwy 16 S
Suite 1D
Bandera, TX 78003-3560
Phone (830) 522-2002

Hospital & facility affiliations

  • Peterson Home Care Home health agency, Kerrville, TX, CCN 677052
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U2347TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lavaca Hospital District CurrentSince Jul 18, 2024 Accepting new patients
Peterson Medical Associates Family Medicine CurrentSince Aug 7, 2023 Accepting new patients
Lavaca Hospital District CurrentSince Jun 1, 2025 Accepting new patients

Locations

3540 State Highway 16 S
Ste 1D
Bandera, TX 78003
Phone (830) 522-2002

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

1331 Bandera Hwy
Ste 4
Kerrville, TX 78028
Phone (830) 258-7762

1331 Bandera Hwy
Ste 3B
Kerrville, TX 78028
Phone (830) 258-7762

Interoperability endpoints

  • Direct secure messaging: tyler.ulmer.1@21041.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1801419627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY STE 4",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289535",
            "telephone_number": "830-258-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY STE 4",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289535",
            "telephone_number": "830-258-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "TYLER",
        "middle_name": "CLAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.