TYLER W ZAUGG (PA) – Physician Assistant, NPI 1578011789

TYLER W ZAUGG (PA) is a healthcare provider. based in Davenport, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA60700085 (WA). The NPI Number for TYLER W ZAUGG (PA) is 1578011789

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TYLER W ZAUGG (PA)
NPI
1578011789
Phone
(509) 725-7501
Address
100 3RD ST STE 1
Enumeration Date
16 September 2016
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097257501
Graduation Year
2016 (10 years ago)
PAC ID
5698054450
Group Practice PAC ID
3971591199
Professional Enrollment ID
I20161118000044
Address ID
WA991229730DA10XXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for TYLER W ZAUGG (PA)

  • 1, 3rd Street, Davenport, Lincoln County, Oklahoma, 74026, United States

    DAVENPORT, WA 991225008

    Phone: (509) 725-7501

    Type: Mailing

  • 10 NICHOLLS ST

    DAVENPORT, WA 991229729

    Phone: (509) 725-7501

    Fax: (509) 725-7504

    Type: Mailing

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: 2016-11-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161118000044IPhysician AssistantWATBD

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
99285Emergency department visit with high level of medical decision making1515$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1211$0
View full utilization report →

Insurance plans in this area (ZIP 99122)

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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: 3971591199View full group profile
NameSpecialtyState
-WA
Clinical Social WorkerAK
Nurse PractitionerCA
General SurgeryMN
Family PracticeWA
Internal MedicineKS
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)WA
Family PracticeWA
Family PracticeWA

Reviews

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Frequently asked questions

What is TYLER W ZAUGG (PA)'s NPI number?
TYLER W ZAUGG (PA)'s NPI is 1578011789 — the number used across U.S. healthcare to identify this provider.
Would TYLER W ZAUGG (PA) appear as active to a payer?
You can treat TYLER W ZAUGG (PA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to TYLER W ZAUGG (PA)?
TYLER W ZAUGG (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Washington is TYLER W ZAUGG (PA) registered?
Use Davenport, Washington as the headline location for TYLER W ZAUGG (PA) here.
When was this NPI issued?
Enumeration for TYLER W ZAUGG (PA) is noted as September 16, 2016 where the registry provides it.

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