Richard D. Tyer, M.D.
NPI 1043238546ActiveIndividual· Psychiatry & Neurology, Neurology· Tyler, TX
Psychiatry & Neurology, Neurology (M.D.) in Tyler, Texas, trained at University of Texas Medical Branch at Galveston (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $2,091,809 for 4,198 claims, against $116,116 paid for services in 2024. Neurocrine Biosciences, Inc. reported $75.10 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1043238546 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | Nov 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | J6783 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 440 |
|---|---|
| Services billed | 1,222 across 16 procedure codes |
| Paid by Medicare | $116,116 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,198 · 6,634 30-day fills |
|---|---|
| Patients | 469 |
| Total drug cost | $2,091,809 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of Texas Medical Branch at Galveston |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Neurology |
Hospital affiliations
Industry payments (Open Payments)
- 2025$75.10 · 3 payments from 1 company
- 2024$363.25 · 16 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $75.10 | 3 |
What the 2025 payments were for
- Food and Beverage$75.10 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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