MICKEY R TYRRELL MD NPI 1710925680

NPI Information

  • NPI: 1710925680
  • Provider Name: MICKEY R TYRRELL, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 37D1045192
  • Address: 803 N FOREMAN ST
    SUITE 102
    VINITA, OK
    ZIP 74301
  • Phone: (918) 256-2261

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NPI Details

Mickey R Tyrrell, MD is a family medicine in Vinita, OK with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mickey R Tyrrell, MD NPI is 1710925680. 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:

803 N FOREMAN ST
SUITE 102
VINITA, OK
ZIP 74301-412
Phone: (918) 256-2261
Fax: (918) 256-2304

The NPI 1710925680 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 CLIA number assigned to this NPI record is 37D1045192 - physician office with a certificate type of Certificate of Waiver.

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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Hemoglobin a1c level (HCPCS:83036)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Urinalysis, manual test (HCPCS:81002)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Hospital observation or inpatient care admitted and discharged on the same day for moderate severity problem, typically 50 minutes (HCPCS:99235)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • New patient home visit, typically 30 minutes (HCPCS:99342)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/22/2011.

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
1207Q00000XFamily Medicine22897OKLAHOMAYes

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
1245533203MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
2I44723MEDICARE UPINOKLAHOMA
3200056320BMEDICAIDOKLAHOMA

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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