1. Home
  2. Directory
  3. California
  4. Mission Viejo
  5. Physician Assistant
  6. NPI Profile

MR. TYLER GRANT WALDRON PA-C
NPI 1407205875
Physician Assistant in Mission Viejo, CA

Active since June 07, 2016PECOS EnrolledAccepts Medicare Assignment
26401 CROWN VALLEY PKWY, STE 101, MISSION VIEJO, CA 92691(949) 348-4000(949) 348-7466 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tyler Grant Waldron Pa-c NPPES

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

MR. TYLER GRANT WALDRON PA-C (NPI 1407205875) is an individual physician assistant in Mission Viejo, California, licensed in California (53447) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407205875
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TYLER GRANT WALDRONCredential: PA-C
Location Address26401 CROWN VALLEY PKWY, STE 101Mission Viejo, CA 92691-6302
Mailing Address26401 Crown Valley Pkwy, Ste 101Mission Viejo, CA 92691-6302 · (949) 348-4000 · Fax (949) 348-7466
Phone(949) 348-4000
Fax(949) 348-7466
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 7, 2016
✔ NPI 1407205875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 53447
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 53447 (CA)
26401 CROWN VALLEY PKWY, Mission Viejo, CA 92691
Open in Google Maps ↗

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

Mr. Tyler Grant Waldron Pa-c 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 ID2466747472
PECOS Enrollment IDI20160829003075
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 11

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.

X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
47 services47 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
28 services24 patients
Fusion of spine in lower back with partial removal of spine bone and disc 22633
This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
23 services23 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 12

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

MICHAEL S MARANDOLA MD
Orthopaedic Surgery
26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691
Orange County (949) 348-4000
KENT R ADAMSON MD
Orthopaedic Surgery
26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691
Orange County (949) 348-4000
EDMUND S EVANGELISTA MD
Physical Medicine & Rehabilitation
26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691
Orange County (949) 348-4000
JOHN R MORRIS MD
Orthopaedic Surgery
26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691
Orange County (949) 348-4000
PATRICIA WEISS PA-C
Physician Assistant
26401 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Orange County (949) 348-4081
TOM D THOMAS MD
Orthopaedic Surgery
26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691
Orange County (949) 348-4000
CHARLES L STEWART PA
Physician Assistant (Surgical)
26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691
Orange County (949) 348-4000
COMMUNITY ORTHOPEDIC MEDICAL GROUP
Orthopaedic Surgery
26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691
Orange County (949) 348-4000

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 Waldron's NPI number?

The NPI number for Tyler Waldron is 1407205875. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Tyler Waldron located?

Tyler Waldron practices at 26401 Crown Valley Pkwy Ste 101, Mission Viejo, CA 92691. The listed phone number is (949) 348-4000.

What is Tyler Waldron's specialty?

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

Is Tyler Waldron enrolled in Medicare?

Yes. Tyler Waldron 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.

When was this NPI record last updated?

The NPPES record for Tyler Waldron was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.