TYCEN SMITH (PA-C) – Physician Assistant, NPI 1093479552

TYCEN SMITH (PA-C) is a healthcare provider. based in Cleveland, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.007259RX (OH). The NPI Number for TYCEN SMITH (PA-C) is 1093479552

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TYCEN SMITH (PA-C)
NPI
1093479552
Phone
(419) 239-7891
Address
1250 W 75TH ST APT 311
Enumeration Date
29 October 2021
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4406955000
Graduation Year
2021 (5 years ago)
PAC ID
1951793025
Group Practice PAC ID
0547552630
Professional Enrollment ID
I20220121002408
Address ID
OH440111390AV33300BLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for TYCEN SMITH (PA-C)

  • 1250 W 75TH ST APT 311

    CLEVELAND, OH 441022991

    Phone: (419) 239-7891

    Type: Mailing

  • 33300 CLEVELAND CLINIC BLVD

    AVON, OH 440111172

    Phone: (440) 695-5212

    Type: Location

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: 2022-01-21

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
I20220121002408IPhysician AssistantOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11389$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5553$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2724$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 44102)

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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: 0547552630View full group profile
NameSpecialtyState
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
-OH
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

What unique ID ties claims to TYCEN SMITH (PA-C)?
NPI 1093479552 is assigned to TYCEN SMITH (PA-C) under the national enumeration system.
Does this profile mean TYCEN SMITH (PA-C) is currently active?
Yes — TYCEN SMITH (PA-C) appears active in the national provider directory.
What does TYCEN SMITH (PA-C) treat or focus on?
Patients typically see TYCEN SMITH (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for TYCEN SMITH (PA-C)?
We surface Cleveland, Ohio for TYCEN SMITH (PA-C) based on available NPPES addresses.
Is TYCEN SMITH (PA-C) a real provider?
This page reflects official NPPES data for NPI 1093479552. Always confirm identity and privileges with the practice and licensing boards.

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