AARON TYREE (PA) – Physician Assistant, NPI 1093965840

AARON TYREE (PA) is a healthcare provider. based in Clayton, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2009030559 (MO). The NPI Number for AARON TYREE (PA) is 1093965840

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
AARON TYREE (PA)
NPI
1093965840
Phone
(636) 667-6623
Address
7625 WYDOWN BLVD APT 1S
Enumeration Date
29 September 2008
Last Update Date
17 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362374200
Graduation Year
2008 (18 years ago)
PAC ID
5890863567
Group Practice PAC ID
6901188572
Professional Enrollment ID
I20091019000109
Address ID
MO630172004CH15740RDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for AARON TYREE (PA)

  • 7625 WYDOWN BLVD APT 1S

    CLAYTON, MO 631052674

    Phone: (636) 667-6623

    Type: Mailing

  • St. Anthony's Medical Center, 10010, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States

    EMERGENCY DEPARTMENT

    SAINT LOUIS, MO 631282106

    Phone: (314) 525-1906

    Type: Location

  • 901 E 5TH ST

    WASHINGTON, MO 630903127

    Phone: (636) 239-8011

    Type: Mailing

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: 2009-10-19

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
I20091019000109IPhysician AssistantMOTBD

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
99284Emergency department visit with moderate level of medical decision making7371$0
99285Emergency department visit with high level of medical decision making4645$0
99283Emergency department visit with low level of medical decision making1616$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 63105)

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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: 6901188572View full group profile
NameSpecialtyState
Hospitalist, Internal Medicine, Internal MedicineIL
Emergency MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
N E U R O L O G YAR
Internal MedicineMO
Internal MedicineNY

Reviews

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Frequently asked questions

What federal number belongs to AARON TYREE (PA)?
The federal identifier for AARON TYREE (PA) is NPI 1093965840.
Is AARON TYREE (PA) active in the national directory?
AARON TYREE (PA)'s public NPI profile is in an active state.
Can you summarize AARON TYREE (PA)'s specialty in plain language?
Clinically, the directory lists AARON TYREE (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does AARON TYREE (PA) practice in Missouri?
You will see Clayton, Missouri on file for AARON TYREE (PA) alongside any extra practice locations.
What if Clayton, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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