DR. TYLER G GUNDERSON M.D. NPI 1477765014

NPI Information

  • NPI: 1477765014
  • Provider Name: DR. TYLER G GUNDERSON, M.D.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 118 BROWN AVE STE 103
    CROSSVILLE, TN
    ZIP 38555
  • Phone: (931) 484-8861

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NPI Details

DR. Tyler G Gunderson, M.D. is an orthopaedic surgery in Crossville, TN with 23 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Tyler G Gunderson, M.D. NPI is 1477765014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

118 BROWN AVE STE 103
CROSSVILLE, TN
ZIP 38555
Phone: (931) 484-8861
Fax: (865) 374-2116

The NPI 1477765014 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • X-ray of both knees while standing (HCPCS:73565)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Injection into tendon or ligament (HCPCS:20550)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 5/4/2007 and was last updated on 6/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery036-117892ILLINOISNo
2207X00000XOrthopaedic Surgery58038TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036117892MEDICAIDILLINOIS
2Q041304MEDICAIDTENNESSEE
3036-117892OTHERILLINOISPHYSICIAN LICENSE
4K39375OTHERILLINOISMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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