Tyler Dority, PHD, LP
NPI 1104394212 · Clinical Psychologist · Mankato, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Dority, PHD, LP is a Clinical Psychologist provider in Mankato, MN (NPI 1104394212).
Provider details
- NPI number
- 1104394212
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP6328 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
261 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 124 | $147 |
| Psychiatric Services Complicated By Communication Factor90785 | 82 | $14 |
| Psychotherapy, 45 Minutes90834 | 30 | $94 |
| Psychiatric Diagnostic Evaluation90791 | 25 | $168 |
Typical Medicare-allowed amounts for these services range $14–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 32298 State Highway 13Montgomery, MN 56069-4348Phone: (507) 364-5312Fax: (507) 364-5908
- 922 Swift StSaint Peter, MN 56082-1844Phone: (507) 364-5312Fax: (507) 364-5908
Registry dates
- Enumerated
- 2018-11-06
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Frequently asked questions
- What is Tyler Dority's NPI number?
- Tyler Dority's National Provider Identifier (NPI) is 1104394212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Dority's specialty?
- Tyler Dority is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Tyler Dority located?
- Tyler Dority's practice location on file with NPPES is 12 Civic Center Plz Ste 1615, Mankato, MN 56001-7783.
- What is Tyler Dority's phone number?
- The practice phone number listed in the NPPES registry for Tyler Dority is (507) 345-4679.
- Does Tyler Dority accept Medicare?
- Tyler Dority is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Dority's NPI active?
- Yes — Tyler Dority's NPI (1104394212) is active in the NPPES registry as of the last update on 2022-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.