Tyler E. Loomer, DO
NPI 1033777677ActiveIndividual· Internal Medicine· Eden Prairie, MN
Internal Medicine (DO) with Ridgeview Medical Center, practicing in Eden Prairie, Minnesota. In 2024 Medicare paid $10,605 for 92 patients, and Part D covered 94 of their prescriptions, 86% of them generic. Lists Ridgeview Medical Center as a hospital affiliation.
Overview
| NPI | 1033777677 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 29, 2019 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 16, 2023 |
| Reactivated | Apr 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 70201 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 176 across 16 procedure codes |
| Paid by Medicare | $10,605 |
Part D prescriptions in 2024
| Prescriptions (claims) | 94 · 155 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $4,857 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Hospitalist |
Medical group
- Ridgeview Medical CenterRoseville, MN · 412 clinicians
Hospital affiliation
- Ridgeview Medical CenterWaconia, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Eden Prairie
- 1437305299
- 1164748315
- 1083610356