Doctor profile · Federal record
Dr. Tyler Holley, MD, DDS
Oral & Maxillofacial Surgery (D.M.D.) · Oral and Maxillofacial Surgery (Dentist) · Oral and Maxillofacial Surgery (Dentist) · Oral & Maxillofacial Surgery (D.M.D.) · Orlando, FL
- NPI 1154760411
- MIPS 92.6 / 100 · 2023
- 13 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
207 W Gore St Ste 302
Orlando, FL 328061014
(407) 839-8407
fax (407) 839-8446 - Additional location
-
1930 Alcoa Hwy Ste 335
Knoxville, TN 379201585
(865) 305-6217
fax (865) 305-6216
Credentials & registration
- NPI registered
- June 2013 — 13 yrs on file
- Profile last updated
- January 8, 2024
- Specialty taxonomy
- 204E00000X — NUCC code
- State licenses (3)
- Florida #ME144719 · Nebraska #7135 · Florida #DN25920
- Medicaid
- FL #105884500
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154760411. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
15
Distinct HCPCS
1
Medicare allowed
$2,199
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $147 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 15. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$278
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| KLS-Martin L.P. | 2 | $278.39 |
By nature of payment
Frequently asked questions
What is Dr. Tyler Holley's medical specialty?
Dr. Tyler Holley practices Oral & Maxillofacial Surgery (D.M.D.) in Orlando, FL.
Where does Dr. Tyler Holley practice?
Dr. Tyler Holley practices at 207 W Gore St Ste 302, Orlando, FL 328061014. Office phone: 4078398407.
What is Dr. Tyler Holley's NPI?
Dr. Tyler Holley's National Provider Identifier (NPI) is 1154760411, issued by NPPES.
What procedures does Dr. Tyler Holley commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.