TYLER POUBLON M.D. NPI 1386091320

NPI Information

  • NPI: 1386091320
  • Provider Name: TYLER POUBLON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 ELMWOOD AVE
    ROCHESTER, NY
    ZIP 14642
  • Phone: (585) 275-2734

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NPI Details

Tyler Poublon, M.D. is a diagnostic radiology radiology in Rochester, NY with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Tyler Poublon, M.D. NPI is 1386091320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642-306
Phone: (585) 275-2734

The NPI 1386091320 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.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • 3d radiographic procedure (HCPCS:76376)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)

The enumeration date for this NPI number is 5/19/2016 and was last updated on 8/10/2021.

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
12085R0202XRadiologyDiagnostic Radiology308884NEW YORKYes

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: 11/21/2025

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