DR. JARED JOHN TYSON (M.D.) – Orthopaedic Surgery Physician, NPI 1356514350
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
Provider Addresses for DR. JARED JOHN TYSON (M.D.)
1551 RENAISSANCE TOWNE DR
SUITE 400
BOUNTIFUL, UT 840107667
Phone: (801) 295-7200
Fax: (801) 295-4930
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)
CMS reports 3 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($149).
Total Amount
$171
General + Research + Ownership
Payments
3
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $149 |
| Smith+Nephew, Inc. | $22 |
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: 2020-12-30
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 |
|---|---|---|---|---|
| I20201230002797 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 395 | 68 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 144 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 79 | $0 |
| 73564 | X-ray of knee, 4 or more views | 82 | 64 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 76 | 17 | $0 |
Insurance plans in this area (ZIP 84010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WI | |
| Orthopedic Surgery | UT | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT |
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