TYE B HARRISON D.O.
NPI 1053631069
Family Medicine - Sports Medicine in Brigham City, UT

Q: What is Tye Harrison's NPI number?

The NPI number for Tye Harrison is 1053631069. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Q: What is Tye Harrison's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Tye Harrison was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2010PECOS Enrolled

600 W HOSPITAL RD, BRIGHAM CITY, UT 84302(435) 734-2041(435) 723-8028 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2023, Aug 2, 2021, Dec 13, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Tye B Harrison D.o. NPPES

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

TYE B HARRISON D.O. (NPI 1053631069) is an individual sports medicine provider in Brigham City, Utah, licensed in Utah (9857371-1204) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053631069

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameTYE B HARRISONCredential: D.O.

Location Address600 W HOSPITAL RDBrigham City, UT 84302-3006

Mailing Address2561 S 1560 W Ste BWoods Cross, UT 84087-2361 · (801) 505-0821 · Fax (801) 505-0803

Phone(435) 734-2041

Fax(435) 723-8028

Sole ProprietorNo

Enumeration DateJune 2, 2010

Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1053631069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in UT · 9857371-1204

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

600 W HOSPITAL RD, Brigham City, UT 84302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.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)

Tye B Harrison D.o. 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 84302 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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 13

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

RACHEL WEBB

Physician Assistant