NPI Details
DR. Tyler Graham Kimbrough, MD is an otolaryngology in Edmonds, WA with 22 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Tyler Graham Kimbrough, MD NPI is 1720121361. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2004
The provider's business location address is:
21616 76TH AVE W
SUITE 112
EDMONDS, WA
ZIP 98026-512
Phone: (425) 775-6651
The NPI 1720121361 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.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Removal of impacted ear wax (HCPCS:69210)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Simple control of nose bleed (HCPCS:30901)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Ultrasound scan of head and neck soft tissue (HCPCS:76536)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 2/14/2007 and was last updated on 7/14/2011.
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 |
| 1 | 207Y00000X | Otolaryngology | | MD60667019 | WASHINGTON | Yes |
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 |
| 1 | G8882308 | OTHER | WASHINGTON | MEDICARE KING CO |
| 2 | G8882307 | OTHER | WASHINGTON | MEDICARE NON-KING CO. |
