TYLER DUANE LITTLE (PA-C) – Physician Assistant, NPI 1407203144

TYLER DUANE LITTLE (PA-C) is a healthcare provider. based in Canby, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA185298 (OR). The NPI Number for TYLER DUANE LITTLE (PA-C) is 1407203144

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
TYLER DUANE LITTLE (PA-C)
NPI
1407203144
Phone
(503) 525-7600
Address
1433 SE 1ST AVE
Enumeration Date
23 May 2016
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034134330
Graduation Year
2017 (9 years ago)
PAC ID
0840559886
Group Practice PAC ID
5092609842
Professional Enrollment ID
I20180119000197
Address ID
OR970627706TU19300AVEX400
Telehealth
Yes

Contacts

Secure Messaging
tlittle782813@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for TYLER DUANE LITTLE (PA-C)

  • 1433 SE 1ST AVE

    CANBY, OR 970136768

    Phone: (503) 525-7600

    Type: Location

  • 1233, Edgewater Street Northwest, West Salem, Salem, Polk County, Oregon, 97304, United States

    SALEM, OR 973044049

    Phone: (503) 378-7526

    Fax: (503) 588-5815

    Type: Mailing

  • 4311 11th Ave NE

    Suite 200

    Seattle, WA 981056366

    Phone: (206) 616-4001

    Type: Location

  • 1233 Edgewater St NW

    Salem, OR 973044049

    Phone: (503) 378-7526

    Fax: (503) 588-5815

    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: 2018-01-19

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
I20180119000197IPhysician AssistantORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes179155$0
99213Established patient office or other outpatient visit, 20-29 minutes6158$0
81003Automated urinalysis test4137$0
36415Insertion of needle into vein for collection of blood sample1616$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 97013)

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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: 5092609842View full group profile

Reviews

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Frequently asked questions

How do I look up TYLER DUANE LITTLE (PA-C) by NPI?
Use NPI 1407203144 when you need to reference TYLER DUANE LITTLE (PA-C) in forms, claims, or directories.
Is TYLER DUANE LITTLE (PA-C) currently active in the NPI registry?
CMS-published data lists TYLER DUANE LITTLE (PA-C) as an active registrant.
What kind of provider is TYLER DUANE LITTLE (PA-C)?
The page reflects Physician Assistant for TYLER DUANE LITTLE (PA-C). Clinical services aligned with this taxonomy classification.
Does TYLER DUANE LITTLE (PA-C) practice in Oregon?
You will see Canby, Oregon on file for TYLER DUANE LITTLE (PA-C) alongside any extra practice locations.
How can I contact TYLER DUANE LITTLE (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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