TYLER JORDAN POND (PA-C) – Physician Assistant, NPI 1356844500
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
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Provider Addresses for TYLER JORDAN POND (PA-C)
2705, East 17th Street, Ammon, Bonneville County, Idaho, 83406, United States
AMMON, ID 834066601
Phone: (208) 346-7500
Fax: (208) 346-7501
Type: Location
150 N WOODRUFF AVE
IDAHO FALLS, ID 834014335
Phone: (208) 557-3255
Fax: (208) 471-5069
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,449.
Total Amount is formed as General ($1,449) + Research ($0) + Ownership ($0) = $1,449.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($310).
Total Amount
$1,449
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,449
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-05-01
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 |
|---|---|---|---|---|
| I20180501000151 | 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 |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 160 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 108 | 33 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 46 | 13 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 28 | 18 | $0 |
Insurance plans in this area (ZIP 83406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Physician Assistant | UT | |
| Mental Health Counselor | ID | |
| Clinical Psychologist | WV | |
| - | ID | |
| Mental Health Counselor | ID | |
| Mental Health Counselor | ID | |
| Mental Health Counselor | ID | |
| Psychiatry, Pediatric Medicine | LA | |
| Clinical Social Worker | ID |
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