DR. KEITH F. TYSON D.P.M. NPI 1205815479

NPI Information

  • NPI: 1205815479
  • Provider Name: DR. KEITH F. TYSON, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1010 EICHELBERGER ST
    SUITE 4
    HANOVER, PA
    ZIP 17331
  • Phone: (717) 757-3537

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NPI Details

DR. Keith F. Tyson, D.P.M. is a foot and ankle surgery podiatrist in Hanover, PA with 23 years of experience. DR. Keith F. Tyson, D.P.M. NPI is 1205815479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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

The provider's business location address is:

1010 EICHELBERGER ST
SUITE 4
HANOVER, PA
ZIP 17331-374
Phone: (717) 757-3537
Fax: (717) 718-9701

The NPI 1205815479 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).

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.

  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Biopsy of fingernail or toenail (HCPCS:11755)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/16/2006 and was last updated on 6/7/2016.

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
1213E00000XPodiatristSC005821PENNSYLVANIANo
2213ES0103XPodiatristFoot & Ankle SurgerySC005821PENNSYLVANIAYes

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
1V06212MEDICARE UPINPENNSYLVANIA
21021748160001MEDICAIDPENNSYLVANIA
350053764OTHERPENNSYLVANIACAPITAL BLUE CROSS
4093855HDXMEDICARE PINPENNSYLVANIA

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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