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TYLER RATHMELL
NPI 1184173536
Physician Assistant in Johnson City, NY

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
240 RIVERSIDE DR, JOHNSON CITY, NY 13790(607) 798-9356(607) 797-1707 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2021, Sep 27, 2016 (2 updates tracked since 2016).

About Tyler Rathmell NPPES

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

TYLER RATHMELL (NPI 1184173536) is an individual physician assistant in Johnson City, New York and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184173536
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER RATHMELL
Location Address240 RIVERSIDE DRJohnson City, NY 13790-2732
Mailing Address240 Riverside DrJohnson City, NY 13790-2732 · (607) 798-9356 · Fax (607) 797-1707
Phone(607) 798-9356
Fax(607) 797-1707
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2016
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1184173536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
240 RIVERSIDE DR, Johnson City, NY 13790
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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 Rathmell 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 ID7618256538
PECOS Enrollment IDI20161117001114
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers13 claims13 services$54.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

STEPHEN G FEDEROWICZ MD
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
KYUNG IN KIM MD
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
MARK VINCENT WILSON MD
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
SCOTT F. HAGE O.D.
Optometrist
240 RIVERSIDE DR, SUITE ONE
JOHNSON CITY, NY 13790
Broome County (607) 729-2102
MS. MINDI ANNE DONAHUE P.A.
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
DR. STEPHEN ALAN LISMAN PH.D.
Psychologist (Clinical)
240 RIVERSIDE DR, SUITE 2
JOHNSON CITY, NY 13790
Broome County (607) 797-1652
MRS. KARLI RENA CAMPBELL PA-C
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356
TIER ORTHOPEDIC ASSOCIATES, P.C.
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 798-9356

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 Rathmell's NPI number?

The NPI number for Tyler Rathmell is 1184173536. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Tyler Rathmell located?

Tyler Rathmell practices at 240 Riverside Dr, Johnson City, NY 13790. The listed phone number is (607) 798-9356.

What is Tyler Rathmell's specialty?

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

Is Tyler Rathmell enrolled in Medicare?

Yes. Tyler Rathmell 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.

Is Tyler Rathmell affiliated with any hospitals?

According to CMS data, Tyler Rathmell is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Tyler Rathmell was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.