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TYSON WILCOX
NPI 1194379040
Physician Assistant in Draper, UT

Active since July 30, 2019PECOS EnrolledAccepts Medicare Assignment
11593 S DOUGLAS VISTA DR, DRAPER, UT 84020(801) 592-7884 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyson Wilcox NPPES

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

TYSON WILCOX (NPI 1194379040) is an individual physician assistant in Draper, Utah and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194379040
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYSON WILCOX
Location Address11593 S DOUGLAS VISTA DRDraper, UT 84020-1480
Mailing Address11593 S Douglas Vista DrDraper, UT 84020-1480 · (801) 592-7884
Phone(801) 592-7884
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 30, 2019
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1194379040 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.
11593 S DOUGLAS VISTA DR, Draper, UT 84020
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Tyson 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 ID1759773179
PECOS Enrollment IDI20220117000023
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 84020 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Tyson Wilcox's NPI number?

The NPI number for Tyson Wilcox is 1194379040. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Where is Tyson Wilcox located?

Tyson Wilcox practices at 11593 S Douglas Vista Dr, Draper, UT 84020. The listed phone number is (801) 592-7884.

What is Tyson Wilcox's specialty?

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

Is Tyson Wilcox enrolled in Medicare?

Yes. Tyson 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 Tyson Wilcox accept?

Health plans from Select Health and University of Utah Health Plans list Tyson 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.

When was this NPI record last updated?

The NPPES record for Tyson Wilcox was last updated on December 29, 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.