TYLER LITTLE (PA-C) – Physician Assistant, NPI 1417468992

TYLER LITTLE (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3967 (SC). The NPI Number for TYLER LITTLE (PA-C) is 1417468992

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
TYLER LITTLE (PA-C)
NPI
1417468992
Phone
(806) 743-2898
Address
PO BOX 27476
Enumeration Date
23 October 2017
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8645225780
Graduation Year
2017 (9 years ago)
PAC ID
4486912581
Group Practice PAC ID
8325950983
Professional Enrollment ID
I20210727001039
Address ID
SC296403040EA309XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:8State licenses:3Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for TYLER LITTLE (PA-C)

  • PO BOX 27476

    SALT LAKE CITY, UT 841270476

    Phone: (806) 743-2898

    Fax: (806) 743-2787

    Type: Mailing

  • Covenant Medical Center, 3615, 19th Street, Lubbock, Lubbock County, Texas, 79410, United States

    LUBBOCK, TX 794101203

    Phone: (806) 725-0000

    Type: Location

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone: (806) 743-2898

    Fax: (806) 743-2787

    Type: Mailing

  • 111 DOCTORS DR

    GREENVILLE, SC 296055622

    Phone: (864) 797-7150

    Fax: (864) 797-7155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $2,130.

Total Amount is formed as General ($2,130) + Research ($0) + Ownership ($0) = $2,130.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Peerless Surgical Inc. ($1,365).

Total Amount

$2,130

General + Research + Ownership

Payments

20

Total payment records

General Amount

$2,130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210727001039IPhysician AssistantSCTBD
I20251007004418IPhysician AssistantCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7862$0
J1100Injection, dexamethasone sodium phosphate, 1 mg5712$0
20610Aspiration and/or injection of fluid from large joint4125$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg4111$0
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose2812$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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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: 8325950983View full group profile
NameSpecialtyState
-OH
-NH
Family PracticeSC
-SC
Infectious Disease, Internal MedicineMT
Certified Registered Nurse Anesthetist (Crna)SC
G A S T R O E N T E R O L O G YPA
Certified Registered Nurse Anesthetist (Crna)SC
Nurse PractitionerSC
Certified Registered Nurse Anesthetist (Crna)WV

Reviews

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Frequently asked questions

What is the standard ID for TYLER LITTLE (PA-C) in the U.S.?
In the U.S., TYLER LITTLE (PA-C) is identified by NPI 1417468992.
Is TYLER LITTLE (PA-C)'s NPI status active today?
Active status means TYLER LITTLE (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits TYLER LITTLE (PA-C)?
NPPES ties TYLER LITTLE (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit TYLER LITTLE (PA-C) in Salt Lake City, Utah?
For routing, start with Salt Lake City, Utah for TYLER LITTLE (PA-C), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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