TYLER SOUTHARD (PA-C) – Physician Assistant, NPI 1457755134
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for TYLER SOUTHARD (PA-C)
2780 E BARNETT RD STE 200
MEDFORD, OR 975048674
Phone: (541) 779-6250
Fax: (541) 608-2535
Mailing address matches the actual address.
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: 2019-10-02
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 |
|---|---|---|---|---|
| I20191002002696 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,216 | 162 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 297 | 156 | $0 |
| 73562 | X-ray of knee, 3 views | 225 | 179 | $0 |
| 73502 | X-ray of hip, 2-3 views | 157 | 137 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 116 | 23 | $0 |
Insurance plans in this area (ZIP 97504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Physical Therapist In Private Practice | OR | |
| Orthopedic Surgery | OR | |
| Hand Surgery, Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| Occupational Therapist In Private Practice | OR | |
| Orthopedic Surgery, Hand Surgery | OR | |
| - | OR | |
| Physician Assistant | CA | |
| Orthopedic Surgery | OR |
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