MR. TYSON THORPE (PA-C) – Physician Assistant, NPI 1699170688

MR. TYSON THORPE (PA-C) is a healthcare provider. based in Coeur d alene, Idaho. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 0004137 (CO). The NPI Number for MR. TYSON THORPE (PA-C) is 1699170688

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. TYSON THORPE (PA-C)
NPI
1699170688
Phone
(208) 620-5210
Address
PO BOX 3648
Enumeration Date
3 November 2014
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082090288
Graduation Year
2014 (12 years ago)
PAC ID
6406135300
Group Practice PAC ID
5597851675
Professional Enrollment ID
I20161117000263
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for MR. TYSON THORPE (PA-C)

  • PO BOX 3648

    COEUR D ALENE, ID 838162522

    Phone: (208) 620-5210

    Type: Mailing

  • 925 E POLSTON AVE

    POST FALLS, ID 83854

    Phone: (208) 620-5210

    Type: Location

  • 1130 W PRAIRIE AVE

    COEUR D ALENE, ID 838158780

    Phone: (208) 209-0288

    Fax: (208) 209-0289

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: ABBVIE INC. ($45).

Total Amount

$194

General + Research + Ownership

Payments

11

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161117000263IPhysician AssistantIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes11278$0
64615Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face3711$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or2911$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 83816)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597851675View full group profile

Reviews

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Frequently asked questions

Does MR. TYSON THORPE (PA-C) have a public NPI I can cite?
Public records show MR. TYSON THORPE (PA-C) under NPI 1699170688.
Does the public listing show MR. TYSON THORPE (PA-C) as active?
MR. TYSON THORPE (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does MR. TYSON THORPE (PA-C) provide?
MR. TYSON THORPE (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MR. TYSON THORPE (PA-C) in Coeur D Alene, Idaho?
For routing, start with Coeur D Alene, Idaho for MR. TYSON THORPE (PA-C), then verify phone and hours locally.
Who maintains MR. TYSON THORPE (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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