DR. TYNAN WYATT M.D.
NPI 1306231840
Family Medicine in El Cajon, CA
About Dr. Tynan Wyatt M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYNAN WYATT M.D. (NPI 1306231840) is an individual family medicine provider in El Cajon, California, licensed in California (A146408) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tynan Wyatt M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tynan Wyatt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Cajon, CA 92021
- Reassigned Medicare billing, Texas enrollment
- 18 clinicians in this Medicare group
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tynan Wyatt's NPI number?
The NPI number for Tynan Wyatt is 1306231840. It was assigned to this individual provider in the NPPES registry on April 1, 2015.
Where is Tynan Wyatt located?
Tynan Wyatt practices at 1240 Broadway, El Cajon, CA 92021. The listed phone number is (619) 841-1310.
What is Tynan Wyatt's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tynan Wyatt enrolled in Medicare?
Yes. Tynan Wyatt 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.
Which organizations bill Medicare for Tynan Wyatt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tynan Wyatt reassigns Medicare benefits to 2 organizations: Revive Pathway (El Cajon, CA) and Family Health Centers Of San Diego, Inc. (El Cajon, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tynan Wyatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tynan Wyatt was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Dr. Tynan Wyatt, M.D. · NPI 1306231840
Family Medicine physician in El Cajon, California. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1306231840 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A146408 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1240 BROADWAY, El Cajon, CA 92021-4994
- **Phone:** (619) 841-1310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Revive Pathway (NPI 1962117440, El Cajon, CA); Family Health Centers Of San Diego, Inc. (NPI 1932561198, El Cajon, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306231840) · Data from the CMS NPPES public registry.