TY C. GULSTROM (PA- C) – Physician Assistant, NPI 1558306373

TY C. GULSTROM (PA- C) is a healthcare provider. based in Mount vernon, Washington. specializing in Physician Assistant. They hold the professional credentials PA- C. They hold a License No. PA10004348 (WA). The NPI Number for TY C. GULSTROM (PA- C) is 1558306373

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
TY C. GULSTROM (PA- C)
NPI
1558306373
Phone
(360) 428-2500
Address
1400 E. KINCAID STREET
Enumeration Date
17 June 2006
Last Update Date
18 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
7416989157
Group Practice PAC ID
6800793522
Professional Enrollment ID
I20050902000160
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for TY C. GULSTROM (PA- C)

  • 1400, East Kincaid Street, Mount Vernon, Skagit County, Washington, 98274, United States

    ATTN: CREDENTIALING

    MOUNT VERNON, WA 982744127

    Phone: (360) 428-2500

    Fax: (360) 428-6485

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-05-17 • Largest payer in this snapshot: Exact Sciences Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-17

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 minutes239196$0
99203New patient office or other outpatient visit, 30-44 minutes190188$0
81002Urinalysis, manual test3935$0
71046X-ray of chest, 2 views2220$0
96372Injection of drug or substance under skin or into muscle1816$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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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: 6800793522View full group profile
NameSpecialtyState
D E R M A T O L O G YNY
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical OncologyWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
O T O L A R Y N G O L O G YWA
Orthopedic SurgeryWA
-WA

Reviews

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Frequently asked questions

What is the 10-digit NPI for TY C. GULSTROM (PA- C)?
TY C. GULSTROM (PA- C) — NPI 1558306373 — is the standard way to identify this listing.
Can I rely on TY C. GULSTROM (PA- C) being an active provider?
As of the registry snapshot, TY C. GULSTROM (PA- C) is marked active.
What is TY C. GULSTROM (PA- C)'s primary classification?
Physician Assistant is the headline specialty for TY C. GULSTROM (PA- C) here. Clinical services aligned with this taxonomy classification.
Where is TY C. GULSTROM (PA- C) based?
TY C. GULSTROM (PA- C) is tied to Mount Vernon, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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