TYSON SCHWAB – Family Medicine Physician, NPI 1023511961

TYSON SCHWAB is a healthcare provider. based in Provo, Utah. specializing in FAMILY PRACTICE. They hold a License No. 7057658-1205 (UT). The NPI Number for TYSON SCHWAB is 1023511961

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
TYSON SCHWAB
NPI
1023511961
Phone
(801) 357-1770
Address
395 W BULLDOG BLVD STE 205
Enumeration Date
16 March 2018
Last Update Date
18 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8015812121
Graduation Year
2018 (8 years ago)
PAC ID
1254667595
Group Practice PAC ID
9537483607
Professional Enrollment ID
I20190724004177
Address ID
UT841320100SA50XXXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
tschwab80976@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

1,136 FAMILY PRACTICE in UT

Provider Addresses for TYSON SCHWAB

  • 395 W BULLDOG BLVD STE 205

    PROVO, UT 846043328

    Phone: (801) 357-1770

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2019-07-24

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
I20190724004177IFamily PracticeUTTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes4533$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1613$0
80053Blood test, comprehensive group of blood chemicals1414$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage1313$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

Loading plans...

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: 9537483607View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to TYSON SCHWAB?
NPI 1023511961 is assigned to TYSON SCHWAB under the national enumeration system.
Is TYSON SCHWAB currently active in the NPI registry?
CMS-published data lists TYSON SCHWAB as an active registrant.
Does TYSON SCHWAB list a primary specialty?
If you are matching referrals, note Family Medicine Physician for TYSON SCHWAB. Clinical services aligned with this taxonomy classification.
Where does public data place TYSON SCHWAB?
The snapshot lists Provo, Utah for TYSON SCHWAB; download NPPES for the complete set.
Is TYSON SCHWAB a real provider?
This page reflects official NPPES data for NPI 1023511961. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

PO BOX 27128
NPI: 1063410579

DR. STEVEN W BLOINK (MD)

Family Medicine Physician
Wymount Terrace, Provo, Utah County, Utah, 84604, United States
NPI: 1891787891

ANDREW D PETERSEN (DO)

Family Medicine Physician
203, West 300 North, Timp, Provo, Utah County, Utah, 84601, United States
NPI: 1124011572

GALE J. SKOUSEN (M.D.)

Family Medicine Physician
336 W 100 S
NPI: 1053305391
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
NPI: 1245225325

DR. DENNIS C HESS (M.D.)

Family Medicine Physician
2230, North University Parkway, Carterville, Provo, Utah County, Utah, 84604, United States
NPI: 1326035080

DR. MARC SUNE ROBINS (DO)

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
NPI: 1780671453

DR. RICHARD J HOLMES (M.D.)

Family Medicine Physician
University Parkway, BYU, Pleasant View, Provo, Utah County, Utah, 84602, United States
NPI: 1083601942

DR. JAMES A III WOODMANSEE (M.D.)

Family Medicine Physician
2230, North University Parkway, Carterville, Provo, Utah County, Utah, 84604, United States
NPI: 1093703530