LARAE TYMOCHKO PA-C
NPI 1013452622
Physician Assistant in Erie, PA

Active since January 05, 2017PECOS Enrolled
2315 MYRTLE ST STE 160, ERIE, PA 16502(814) 456-9197(814) 455-2765 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2024, Aug 18, 2020, Jan 19, 2017 and 1 more (4 updates tracked since 2017).

About Larae Tymochko Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARAE TYMOCHKO PA-C (NPI 1013452622) is an individual physician assistant in Erie, Pennsylvania, licensed in Pennsylvania (MA060474) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013452622
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARAE TYMOCHKOCredential: PA-C
Location Address2315 MYRTLE ST STE 160Erie, PA 16502-4602
Mailing Address2315 Myrtle St Ste 160Erie, PA 16502-4602 · (814) 456-9197 · Fax (814) 455-2765
Fax(814) 455-2765
Sole ProprietorNo
Enumeration DateJanuary 5, 2017
Last NPPES UpdateApril 4, 20244 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
NPI 1013452622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA060474
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 50.005833RX (OH)
2315 MYRTLE ST STE 160, Erie, PA 16502

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Larae Tymochko Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2315 MYRTLE ST STE 160
ERIE, PA 16502
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2315 MYRTLE ST STE 160
ERIE, PA 16502
Physician Assistant
2315 MYRTLE ST STE 160
ERIE, PA 16502
Nurse Practitioner
2315 MYRTLE ST STE 160
ERIE, PA 16502
Nurse Practitioner (Family)
2315 MYRTLE ST STE 160
ERIE, PA 16502
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2315 MYRTLE ST STE 160
ERIE, PA 16502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013452622, enumerated as an "individual" on January 05, 2017.

The provider is located at 2315 MYRTLE ST STE 160 ERIE, PA 16502 and the phone number is (814) 456-9197.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: CareSource and Molina Healthcare. Please consult your insurance carrier or call the provider to verify.