TYLER BRUCE WILCOX
NPI 1063130144
Physician Assistant in Tulsa, OK

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment
4802 S 109TH EAST AVE, TULSA, OK 74146(918) 392-1400 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Bruce Wilcox NPPES

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

TYLER BRUCE WILCOX (NPI 1063130144) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5441) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063130144
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER BRUCE WILCOX
Location Address4802 S 109TH EAST AVETulsa, OK 74146-5822
Mailing Address808 W Atlanta CtBroken Arrow, OK 74012-6907
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 16, 2022
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 10, 2025
NPI 1063130144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 5441
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.

4802 S 109TH EAST AVE, Tulsa, OK 74146

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 and accepts Medicare assignment

Tyler Bruce Wilcox is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224568605
PECOS Enrollment IDI20250214000721
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 20

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

Orthopaedic Surgery
4802 S 109TH EAST AVE
TULSA, OK 74146
Orthopaedic Surgery
4802 S 109TH EAST AVE
TULSA, OK 74146
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4802 S 109TH EAST AVE
TULSA, OK 74146
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4802 S 109TH EAST AVE
TULSA, OK 74146
Family Medicine (Sports Medicine)
4802 S 109TH EAST AVE
TULSA, OK 74146
Orthopaedic Surgery
4802 S 109TH EAST AVE
TULSA, OK 74146
Physician Assistant
4802 S 109TH EAST AVE
TULSA, OK 74146
Physician Assistant
4802 S 109TH EAST AVE
TULSA, OK 74146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Wilcox's NPI number?

The NPI number for Tyler Wilcox is 1063130144. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Tyler Wilcox located?

Tyler Wilcox practices at 4802 S 109th East Ave, Tulsa, OK 74146. The listed phone number is (918) 392-1400.

What is Tyler Wilcox's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tyler Wilcox enrolled in Medicare?

Yes. Tyler Wilcox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tyler Wilcox accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Tyler Wilcox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tyler Wilcox affiliated with any hospitals?

According to CMS data, Tyler Wilcox is affiliated with Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Tyler Wilcox was last updated on January 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.