MR. TY JOO MCCOMAS FNP-C
NPI 1164813184
Nurse Practitioner - Family in Ogden, UT

Active since February 12, 2015PECOS EnrolledAccepts Medicare Assignment
2240 ADAMS AVE, OGDEN, UT 84401(801) 393-5355(801) 934-4609 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ty Joo Mccomas Fnp-c NPPES

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

MR. TY JOO MCCOMAS FNP-C (NPI 1164813184) is an individual family provider in Ogden, Utah, licensed in Utah (4917488-4405) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164813184
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. TY JOO MCCOMASCredential: FNP-C
Location Address2240 ADAMS AVEOgden, UT 84401-1511
Mailing Address2240 Adams AveOgden, UT 84401-1511 · (801) 393-5355 · Fax (801) 394-4609
Fax(801) 934-4609
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 12, 2015
Last NPPES UpdateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
NPI 1164813184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in UT · 4917488-4405 Licensed in HI · APRN-1854
2240 ADAMS AVE, Ogden, UT 84401

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

Mr. Ty Joo Mccomas Fnp-c 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 ID3678884517
PECOS Enrollment IDI20200921001725
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 84401 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 20

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

Physician Assistant
2240 ADAMS AVE
OGDEN, UT 84401
Nurse Practitioner (Family)
2240 ADAMS AVE
OGDEN, UT 84401
Social Worker
2240 ADAMS AVE
OGDEN, UT 84401
Physician Assistant
2240 ADAMS AVE
OGDEN, UT 84401
Physician Assistant (Surgical)
2240 ADAMS AVE
OGDEN, UT 84401
Social Worker (Clinical)
2240 ADAMS AVE
OGDEN, UT 84401
Physician Assistant
2240 ADAMS AVE
OGDEN, UT 84401
Family Medicine
2240 ADAMS AVE
OGDEN, UT 84401

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 Ty Mccomas's NPI number?

The NPI number for Ty Mccomas is 1164813184. It was assigned to this individual provider in the NPPES registry on February 12, 2015.

Where is Ty Mccomas located?

Ty Mccomas practices at 2240 Adams Ave, Ogden, UT 84401. The listed phone number is (801) 393-5355.

What is Ty Mccomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ty Mccomas enrolled in Medicare?

Yes. Ty Mccomas 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 Ty Mccomas accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Ty Mccomas 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.

When was this NPI record last updated?

The NPPES record for Ty Mccomas was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.