TYSON MICHAEL CAMPBELL (DO) – Family Medicine Physician, NPI 1083811566

TYSON MICHAEL CAMPBELL (DO) is a healthcare provider. based in Vancouver, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OL20000097 (WA). The NPI Number for TYSON MICHAEL CAMPBELL (DO) is 1083811566

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
TYSON MICHAEL CAMPBELL (DO)
NPI
1083811566
Phone
(360) 892-9730
Address
520 NE 117TH AVE
Enumeration Date
28 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606364814
Graduation Year
2005 (21 years ago)
PAC ID
6901967215
Group Practice PAC ID
5890689293
Professional Enrollment ID
I20130212000027
Address ID
WA986322367LO1615XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for TYSON MICHAEL CAMPBELL (DO)

  • 520, Northeast 117th Avenue, Vancouver, Clark County, Washington, 98684, United States

    VANCOUVER, WA 986844957

    Phone: (360) 892-9730

    Type: Mailing

  • 100, East 33rd Street, Vancouver, Clark County, Washington, 98663, United States

    SUITE 100

    VANCOUVER, WA 986632776

    Phone: (360) 514-7550

    Fax: (360) 514-7553

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2013-02-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130212000027IFamily PracticeWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14253$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5453$0
99239Hospital discharge day management, more than 30 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 98684)

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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: 5890689293View full group profile
NameSpecialtyState
-WA
-WA
Nurse PractitionerWA
H E M A T O L O G YCA
Nurse PractitionerWA
P S Y C H I A T R YIL
-WA
P S Y C H I A T R YWA
Clinical Social WorkerWA
-WA

Reviews

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Frequently asked questions

How do I look up TYSON MICHAEL CAMPBELL (DO) by NPI?
Use NPI 1083811566 when you need to reference TYSON MICHAEL CAMPBELL (DO) in forms, claims, or directories.
Is TYSON MICHAEL CAMPBELL (DO) currently active in the NPI registry?
CMS-published data lists TYSON MICHAEL CAMPBELL (DO) as an active registrant.
What field does TYSON MICHAEL CAMPBELL (DO) work in?
You can think of TYSON MICHAEL CAMPBELL (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is TYSON MICHAEL CAMPBELL (DO)'s primary listing?
We display Vancouver, Washington because that is what the record indicates for TYSON MICHAEL CAMPBELL (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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