TYLER ANDERSON (PA-C) – Physician Assistant, NPI 1124471446
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
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Provider Addresses for TYLER ANDERSON (PA-C)
407, Dunn Boulevard, Bay Lights, Erie, Erie County, Pennsylvania, 16507, United States
ERIE, PA 165071913
Phone:
Type: Mailing
Coal Valley Road, Clairton, Allegheny County, Pennsylvania, 15045, United States
CLAIRTON, PA 150253729
Phone: (412) 267-6810
Fax: (412) 267-6817
Type: Location
320 E NORTH AVE
PITTSBURGH, PA 152124756
Phone:
Type: Mailing
232 W 25TH ST
ERIE, PA 165440002
Phone: (814) 452-5421
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $300.
Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($262).
Total Amount
$300
General + Research + Ownership
Payments
8
Total payment records
General Amount
$300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $262 |
| Organogenesis Inc. | $21 |
| Getinge USA Sales, LLC | $17 |
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: 2016-10-12
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 |
|---|---|---|---|---|
| I20161012000429 | I | Physician Assistant | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16507)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA |
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