BRYAN KENNETH TIPTON (PA-C, MPAS) – Physician Assistant, NPI 1780149948

BRYAN KENNETH TIPTON (PA-C, MPAS) is a healthcare provider. based in Powell, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, MPAS. They hold a License No. PA827 (WY). The NPI Number for BRYAN KENNETH TIPTON (PA-C, MPAS) is 1780149948

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN KENNETH TIPTON (PA-C, MPAS)
NPI
1780149948
Phone
(307) 399-8439
Address
418 N CHEYENNE ST
Enumeration Date
1 February 2019
Last Update Date
25 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077547257
Graduation Year
2019 (7 years ago)
PAC ID
1759612930
Group Practice PAC ID
5092798561
Professional Enrollment ID
I20191021000678
Address ID
WY824352212PO450XXVIEW300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

324 PHYSICIAN ASSISTANT in WY

Provider Addresses for BRYAN KENNETH TIPTON (PA-C, MPAS)

  • 418, North Cheyenne Street, Powell, Park County, Wyoming, 82435, United States

    POWELL, WY 824351842

    Phone: (307) 399-8439

    Type: Mailing

  • 8185 State Highway 789

    Lander, WY 825202942

    Phone: (307) 206-9300

    Type: Location

  • 777 AVENUE H

    POWELL, WY 824352260

    Phone: (307) 754-2267

    Fax: (307) 754-7257

    Type: Mailing

  • Powell Hospital, 777, Avenue H, Powell, Park County, Wyoming, 82435, United States

    POWELL, WY 824352260

    Phone: (307) 754-7257

    Fax: (307) 754-7217

    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: 2019-10-21

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
I20191021000678IPhysician AssistantWYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7550$0
99213Established patient office or other outpatient visit, 20-29 minutes6551$0
View full utilization report →

Insurance plans in this area (ZIP 82435)

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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: 5092798561View full group profile
NameSpecialtyState
Physician AssistantWY
Emergency MedicineWY
Family PracticeWY
Nurse PractitionerWY
Physician AssistantWY
Orthopedic SurgeryWY
Diagnostic RadiologyOR
Emergency MedicineWY
-WY
Certified Registered Nurse Anesthetist (Crna)WY

Reviews

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Frequently asked questions

Can I verify BRYAN KENNETH TIPTON (PA-C, MPAS) with an NPI only?
You can start verification with NPI 1780149948 for BRYAN KENNETH TIPTON (PA-C, MPAS), then check state licensing separately.
Is BRYAN KENNETH TIPTON (PA-C, MPAS) listed as active for patients and plans?
The listing shows BRYAN KENNETH TIPTON (PA-C, MPAS) as active in the NPI system.
What taxonomy line describes BRYAN KENNETH TIPTON (PA-C, MPAS)?
For research purposes, treat BRYAN KENNETH TIPTON (PA-C, MPAS) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BRYAN KENNETH TIPTON (PA-C, MPAS)?
BRYAN KENNETH TIPTON (PA-C, MPAS)'s geographic hint is Powell, Wyoming in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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