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TYLER PEW DO
NPI 1063152080
Internal Medicine in Logan, UT

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Aug 2, 2022 (2 updates tracked since 2022).

About Tyler Pew Do NPPES

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

TYLER PEW DO (NPI 1063152080) is an individual internal medicine provider in Logan, Utah, licensed in Utah (14217639-1204) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1063152080
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTYLER PEWCredential: DO
Location Address1350 N 500 ELogan, UT 84341-2400
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(435) 792-1980
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 29, 2022
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1063152080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in UT · 14217639-1204✔ Licensed in ID · 1063152080
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1350 N 500 E, Logan, UT 84341
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 W Fort St # 111RBoise, ID 83702-4501 · Phone (208) 422-1314

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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 Pew Do 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 ID1951817782
PECOS Enrollment IDI20250718003919
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

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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 20

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

ERNEST BRETT HORSLEY DO
Obstetrics & Gynecology
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1920
GREGG ARTHUR MARSHALL MD
Surgery
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1950
IHC HEALTH SERVICES INC
Pharmacy (Community/Retail Pharmacy)
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1521
MR. TYSON ANDERSON CLUFF PA-C
Physician Assistant
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-2800
HAROLD VONK M.D.
Internal Medicine (Rheumatology)
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1980
ROBERT M NASH MD
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1980
AGNIESZKA M SZPUNAR MD
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 792-1980
ANDREW JAMES GOATES MD
Otolaryngology
1350 N 500 E
LOGAN, UT 84341
Cache County (435) 752-1693

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 Pew's NPI number?

The NPI number for Tyler Pew is 1063152080. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Tyler Pew located?

Tyler Pew practices at 1350 N 500 E, Logan, UT 84341. The listed phone number is (435) 792-1980.

What is Tyler Pew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tyler Pew enrolled in Medicare?

Yes. Tyler Pew 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 Pew accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Tyler Pew 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 Pew affiliated with any hospitals?

According to CMS data, Tyler Pew is affiliated with Logan Regional Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Pew was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.