Active NPI
Tyler Ernest Patrick, DO
- Otolaryngology Physician
- Ellsworth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- DO3615
- Practice address
- 50 Union Street
Ellsworth, ME 04605-2119 - Phone
- (072) 664-5658
- NPI assigned
- Feb 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | DO3615 | ME | Primary |
Addresses
Primary practice location
50 Union Street
Ellsworth, ME 04605-2119
Mailing address
1170 Shore Road
Lamoine, ME 04605
Phone (603) 978-6076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of New England, College of Osteo Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Union St
Ellsworth, ME 04605-1534
Hospital & facility affiliations
- Northern Light Maine Coast Hospital
- Northern Light Blue Hill Memorial Hospital
- Mount Desert Island Hospital
- Northern Light Eastern Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.48 of 100
- Quality
- 71.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.07
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Coast Regional Health Facilities | Current | Accepting new patients | |
| Maine Coast Regional Health Facilities | Current | Accepting new patients |
Locations
43 Whiting Hill Rd
Ste 250
Brewer, ME 04412
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
50 Union St
Ste 1100
Ellsworth, ME 04605
Phone (207) 664-5658
Interoperability endpoints
- tpatrick2364995@direct.trinity-health.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- Internal Medicine Physician
- Ellsworth, ME
- NPI 1598152035
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- Critical Access Hospital
- Bar Harbor, ME
- NPI 1790764512
-
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1932600145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 SHORE ROAD",
"city": "LAMOINE",
"state": "ME",
"postal_code": "04605",
"telephone_number": "603-978-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 UNION STREET",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046052119",
"telephone_number": "072-664-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "TYLER",
"middle_name": "ERNEST",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ME",
"license": "DO3615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.