BRYCE DAVID WYLIE (PA-C) – Physician Assistant, NPI 1811043862
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Loading map...
Provider Addresses for BRYCE DAVID WYLIE (PA-C)
167, East 1st South, Rigby, Jefferson County, Idaho, 83442, United States
RIGBY, ID 834421401
Phone: (208) 745-8747
Fax: (208) 745-9396
Type: Mailing
72 S 1st E Ste 101
Rexburg, ID 834401965
Phone: (208) 356-4900
Fax: (208) 356-3724
Type: Location
3729 Woodking Dr Ste 1
Idaho Falls, ID 834044720
Phone: (208) 356-4900
Fax: (208) 612-6118
Type: Location
PO BOX 18
SAINT ANTHONY, ID 834450018
Phone: (208) 356-4900
Fax: (208) 624-4112
Type: Mailing
335 E MAIN ST STE 1
SAINT ANTHONY, ID 834451546
Phone: (208) 356-4900
Fax: (208) 624-4116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-04-04 • Largest payer in this snapshot: ABBVIE INC. ($60).
Total Amount
$74
General + Research + Ownership
Payments
4
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $60 |
| Novo Nordisk Inc | $14 |
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: 2012-11-14
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 |
|---|---|---|---|---|
| I20121114000659 | 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 |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 75 | 53 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 72 | 54 | $0 |
| 81003 | Automated urinalysis test | 66 | 42 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 23 | 20 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 14 | 13 | $0 |
Insurance plans in this area (ZIP 83442)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| General Practice | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Clinical Social Worker | ID | |
| Nurse Practitioner | ID |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.