MR. TYLER NEWMAN (PA-C) – Physician Assistant, NPI 1205227709
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for MR. TYLER NEWMAN (PA-C)
1030 Medical Dr Ste A
Brigham City, UT 843023276
Phone: (801) 827-9100
Fax: (801) 827-9110
Type: Location
1760 N 200 E STE 101
LOGAN, UT 843411202
Phone: (435) 787-0560
Fax: (435) 752-4673
Type: Mailing
434 E 5350 S STE D
OGDEN, UT 84405
Phone: (801) 827-9100
Fax: (801) 827-9110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $926.
Total Amount is formed as General ($926) + Research ($0) + Ownership ($0) = $926.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Incyte Corporation ($206).
Total Amount
$926
General + Research + Ownership
Payments
39
Total payment records
General Amount
$926
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $206 |
| ABBVIE INC. | $175 |
| Novartis Pharmaceuticals Corporation | $167 |
| UCB, Inc. | $107 |
| PFIZER INC. | $81 |
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: 2017-04-18
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 |
|---|---|---|---|---|
| I20170418002592 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,303 | 232 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 631 | 340 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 441 | 292 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 227 | 176 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 223 | 179 | $0 |
Insurance plans in this area (ZIP 84302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | ME | |
| D E R M A T O L O G Y | UT | |
| Nurse Practitioner | UT | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | ID | |
| Nurse Practitioner | UT |
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