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TYLER WILLIAMSON P.A.
NPI 1255744017
Physician Assistant in Sandy, UT

Active since June 09, 2014PECOS Enrolled
580 E 9400 S, 103, SANDY, UT 84070(225) 939-8180 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Williamson P.a. NPPES

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

TYLER WILLIAMSON P.A. (NPI 1255744017) is an individual physician assistant in Sandy, Utah and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1255744017
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER WILLIAMSONCredential: P.A.
Location Address580 E 9400 S, 103Sandy, UT 84070-8407
Mailing Address580 E 9400 S # 103Sandy, UT 84070-6237 · (225) 939-8180
Phone(225) 939-8180
Sole ProprietorNo
Enumeration DateJune 9, 2014
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1255744017 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.
580 E 9400 S, Sandy, UT 84070
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Secondary Practice Location 1

Location 11160 E 3900 S, SUITE 5000Salt Lake City, UT 84124-1202 · Phone (801) 262-8486 · Fax (801) 284-8699

Other Identifiers 1

Other9066323-1206UT · Division Of Professional Licensing

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Williamson P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84070 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 Tyler Williamson's NPI number?

The NPI number for Tyler Williamson is 1255744017. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Tyler Williamson located?

Tyler Williamson practices at 580 E 9400 S 103, Sandy, UT 84070. The listed phone number is (225) 939-8180.

What is Tyler Williamson's specialty?

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

Is Tyler Williamson enrolled in Medicare?

Yes. Tyler Williamson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Williamson was last updated on March 5, 2024. 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.