Individual provider

Tyler Evans, M.D.

Plastic Surgery Physician Surgery of the Hand (Plastic Surgery) Physician Plastic and Reconstructive Surgery Physician Medicare enrolled

Tyler Evans, M.D. is a Plastic Surgery Physician in Peoria, IL, registered under NPI 1629416920. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1001 MAIN ST STE 300, Peoria, IL 61606. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1001 MAIN ST STE 300, Peoria, IL 61606 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
036.153539 IL Plastic Surgery Physician primary
036.153539 IL Surgery of the Hand (Plastic Surgery)…
036153539 IL Plastic and Reconstructive Surgery…

This provider holds licence 036.153539 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Plastic And Reconstructive Surgery
PAC ID
8325282197

Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Plastic Surgery covers

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. NUCC Health Care Provider Taxonomy, code 208200000X
Allopathic & Osteopathic Physicians Plastic Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208200000X Plastic Surgery Physician 036.153539 IL primary
2082S0105X Surgery of the Hand (Plastic Surgery) Physician Surgery of the Hand 036.153539 IL
2086S0122X Plastic and Reconstructive Surgery Physician Plastic and Reconstructive Surgery 036153539 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629416920 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 7, 2013
Last updatedApr 7, 2026
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1001 MAIN ST STE 300
Peoria, IL 61606
(217) 528-7541
Mailing address PO BOX 19248
Springfield, IL 62794
This record was updated on Apr 7, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1629416920 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 4 1 6 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 8 1 3 9 4

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629416920?
NPI 1629416920 is the National Provider Identifier assigned to Tyler Evans, M.D. in Peoria, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic Surgery Physician cover?
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is…
How do I contact Tyler Evans, M.D.?
The phone number on file with NPPES is (217) 528-7541, last updated Apr 7, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tyler Evans, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629416920 a valid number?
Yes. 1629416920 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.