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TYSON ROBERTS PA
NPI 1346137726
Physician Assistant in Eagle Mountain, UT

Active since June 19, 2025PECOS EnrolledAccepts Medicare Assignment
4095 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005(801) 429-8037(801) 753-7476 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Jun 20, 2025 (2 updates tracked since 2025).

About Tyson Roberts Pa NPPES

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

TYSON ROBERTS PA (NPI 1346137726) is an individual physician assistant in Eagle Mountain, Utah and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346137726
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYSON ROBERTSCredential: PA
Location Address4095 E PONY EXPRESS PKWYEagle Mountain, UT 84005-5529
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 429-8037
Fax(801) 753-7476
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2025
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1346137726 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.
4095 E PONY EXPRESS PKWY, Eagle Mountain, UT 84005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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 Roberts Pa 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 ID7214442466
PECOS Enrollment IDI20250716000778
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 84005 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.

Other Providers at the Same Location NPPES 9

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

PAUL KNORR LEWIS NP
Nurse Practitioner (Family)
4095 E PONY EXPRESS PKWY, STE 1
EAGLE MOUNTAIN, UT 84005
Utah County (801) 429-8037
MR. LORIN LEITHEAD APRN
Nurse Practitioner (Family)
4095 E PONY EXPRESS PKWY, SUITE 1
EAGLE MOUNTAIN, UT 84005
Utah County (801) 429-8037
RACHAEL L CLARK
Dietitian, Registered
4095 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Utah County (801) 429-8037
LAUREN SPENCER
Speech-Language Pathologist
4095 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Utah County (801) 980-1510
BRIAN J PONTIUS MPAS PA-C
Physician Assistant
4095 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Utah County (801) 429-8037
DR. POLLY LANCE PHARMD
Pharmacist
4095 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-4997
STEVEN LEN EMBLEY D.O.
Family Medicine
4095 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Utah County (801) 429-8037
MR. JAY CANNON LAMBERT PA
Physician Assistant
4095 E PONY EXPRESS PKWY, STE 1
EAGLE MOUNTAIN, UT 84005
Utah County (801) 429-8037

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 Roberts's NPI number?

The NPI number for Tyson Roberts is 1346137726. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Tyson Roberts located?

Tyson Roberts practices at 4095 E Pony Express Pkwy, Eagle Mountain, UT 84005. The listed phone number is (801) 429-8037.

What is Tyson Roberts's specialty?

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

Is Tyson Roberts enrolled in Medicare?

Yes. Tyson Roberts 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 Roberts accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Tyson Roberts 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 Roberts was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.