ANDREW TYLER (PA) – Physician Assistant, NPI 1003383480
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,686 PHYSICIAN ASSISTANT in CA
Provider Addresses for ANDREW TYLER (PA)
PO BOX 10069
SAN BERNARDINO, CA 924230069
Phone: (909) 335-4188
Type: Mailing
4368 Central Ave
Riverside, CA 925062918
Phone: (951) 742-7324
Type: Location
7000, Boulder Avenue, Molino, Highland, San Bernardino County, California, 92346, United States
HIGHLAND, CA 923463348
Phone: (909) 862-1191
Type: Location
FILE NUMBER 54701
LOS ANGELES, CA 900744701
Phone: (909) 651-4300
Type: Mailing
25828 REDLANDS BLVD STE 103
REDLANDS, CA 923738451
Phone: (909) 558-6856
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191223001612 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 101 | $0 |
| 81003 | Automated urinalysis test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 92423)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| - | PA | |
| Diagnostic Radiology | OR | |
| - | CA | |
| Critical Care (Intensivists), General Surgery | CA |
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