NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1255537031 M.D.
Verify on CMS → Tyler Pearce, M.D.
Pediatrics Physician in Aurora, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,574 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
185
Medicare Part D claims · 123 beneficiaries · Pediatrics Physician avg: 762
MIPS score
83.4/100
▲ 0 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Tyler Pearce, M.D. reported a CMS MIPS final score of 83.4/100 - above the 83.1 national average - and filed 185 Medicare Part D claims in 2023.
- 83.4/100
- MIPS score · +0 vs avg
- 185
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Tyler Pearce, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
83 42nd percentile higher than 42% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Tyler Pearce, M.D. sits
This provider among pediatrics physician peers
Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Tyler Pearce, M.D. writes more Part D claims than 54% of them and scores higher on MIPS quality than 41% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatrics physician peer from a representative sample of 60; the gold marker is Tyler Pearce, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Tyler Pearce, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Tyler Pearce, M.D.?
Near national averagePrimary specialty
Pediatrics Physician
Medicare Part D claims
185 76% vs specialty avg
MIPS final score
83.4/100 0.3 pts vs avg
Specialty distribution in Colorado
How Pediatrics Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Tyler Pearce, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 83.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 83.4/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Tyler Pearce, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 13123 E 16TH AVE, Aurora, CO, 80045, with a listed phone of (720) 777-1234. NPI 1255537031 was issued on 06/27/2007.
Medicare Part D records for calendar year 2023 show 185 prescription claims written by this provider, covering 123 Medicare beneficiaries and totaling roughly $2K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.4/100 for the 2023 performance year (Quality 80, Cost 61.1), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1255537031 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/27/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.4304
Final Score
Avg: 83.1
80
Quality
61.0993
Cost
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
185
Total Claims
$2K
Total Drug Cost
123
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 189
- Total Day Supply
- 1,573
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 63
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 2.21
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 42, 65-74: 42, 75-84: 24, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Tyler Pearce, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ondansetron Odt
Ondansetron Odt
32 claims
- Cephalexin
Cephalexin
30 claims
- Doxycycline Hyclate
Doxycycline Hyclate
14 claims
- Dicyclomine Hcl 11
Dicyclomine Hcl
11 claims
| Drug | Claims |
|---|---|
| Ondansetron Odt Ondansetron | 32 |
| Cephalexin | 30 |
| Doxycycline Hyclate | 14 |
| Dicyclomine Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How Tyler Pearce, M.D. fits within the Pediatrics Physician landscape nationally.
80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Tyler Pearce, M.D.'s 185 claims are below the specialty average of 762.
Nearby Pediatrics Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Pearce.
Dr. Nicholas Abbey
M.D.
Arvada, CO
Dr. Shawna Abbey
MD
Aurora, CO
Dr. Ashraf Abdel-Azeem
M.D.
Aurora, CO
Dr. Anna Abrams
MD
Aurora, CO
Dr. Lisa Abuogi
M.D.
Aurora, CO
Compare Pediatrics Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Tyler Pearce, M.D.'s specialty? ▼
Tyler Pearce, M.D. specializes in Pediatrics Physician and practices in Aurora, Colorado. Credentials: M.D..
How much does Tyler Pearce, M.D. prescribe under Medicare Part D? ▼
In 2023, Tyler Pearce, M.D. wrote 185 Medicare Part D claims totaling $2K in drug costs for 123 beneficiaries.
What is Tyler Pearce, M.D.'s Medicare quality score? ▼
Tyler Pearce, M.D. has a CMS MIPS Final Score of 83.4/100 (Quality: 80, Cost: 61.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Tyler Pearce, M.D. located? ▼
Tyler Pearce, M.D. is located at 13123 E 16TH AVE, Aurora, CO, 80045. Phone: (720) 777-1234.
What is Tyler Pearce, M.D.'s NPI number? ▼
Tyler Pearce, M.D.'s National Provider Identifier (NPI) is 1255537031, issued on 06/27/2007.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does Tyler Pearce, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Tyler Pearce, M.D.'s most frequently prescribed drugs include Ondansetron Odt, Cephalexin, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tyler Pearce, M.D. accept Medicare? ▼
Tyler Pearce, M.D. appears in CMS Medicare data with 185 Part D claims and 123 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tyler Pearce, M.D.'s credentials? ▼
Tyler Pearce, M.D.'s NPI is 1255537031 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.