MR. TYSON CRAIG PARKER (PA-C) – Physician Assistant, NPI 1295921484
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for MR. TYSON CRAIG PARKER (PA-C)
3614, Washington Parkway, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834047573
Phone: (208) 552-7700
Type: Mailing
3360 WASHINGTON PKWY STE 1
IDAHO FALLS, ID 834047592
Phone: (208) 524-3416
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 220 Open Payments records for all available years, with a total value of $3,742.
Total Amount is formed as General ($3,742) + Research ($0) + Ownership ($0) = $3,742.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($948).
Total Amount
$3,742
General + Research + Ownership
Payments
220
Total payment records
General Amount
$3,742
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $948 |
| Lilly USA, LLC | $280 |
| Axsome Therapeutics, Inc. | $245 |
| Novo Nordisk Inc | $144 |
| Otsuka America Pharmaceutical, Inc. | $141 |
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: 2009-03-12
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20090312000367 | I | Physician Assistant | ID | 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 | 162 | 111 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 150 | 47 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 91 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 64 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 72 | 60 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| - | ID | |
| Physical Therapist In Private Practice | ID | |
| - | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | ID | |
| Physical Therapist In Private Practice | ID | |
| Physician Assistant | ID |
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