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DR. JONATHAN TYE M.D.
NPI 1417057068
Internal Medicine - Cardiovascular Disease in West Covina, CA

Active since September 24, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0937008 · Waiver
30/100
CMS Quality Rating
1250 S SUNSET AVE, STE 202, WEST COVINA, CA 91790(626) 960-6588(626) 338-0688 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jonathan Tye M.d. NPPES

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

DR. JONATHAN TYE M.D. (NPI 1417057068) is an individual cardiovascular disease provider in West Covina, California, licensed in California (A44747) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 8, 2028, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1417057068
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JONATHAN TYECredential: M.D.
Location Address1250 S SUNSET AVE, STE 202West Covina, CA 91790-3961
Mailing Address1250 S Sunset Ave, Ste 202West Covina, CA 91790-3961 · (626) 960-6588 · Fax (626) 338-0688
Phone(626) 960-6588
Fax(626) 338-0688
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 24, 2006
Last NPPES UpdateSeptember 20, 2016
✔ NPI 1417057068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A44747
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1250 S SUNSET AVE, West Covina, CA 91790
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedA44747CA · State License
Medicare UPINE90933CA
Medicaid00A44747CA

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

Dr. Jonathan Tye 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.

PECOS PAC ID8426215179
PECOS Enrollment IDI20120207000835
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0937008

Jonathan Tye · West Covina, CA
Active · expires Jan 8, 2028
CLIA Number05D0937008
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorJonathan Tye
Laboratory Phone(626) 960-6588
Laboratory LocationJonathan Tye1250 South Sunset Avenue #202, West Covina, CA 91790
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,521 services655 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,379 services266 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
389 services197 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
370 services307 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
351 services193 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
299 services273 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims35 services$5.59 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
2 suppliers15 claims15 services$1.10 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$19.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MARIA SUSAN BUHAY-MAGLUNOG MD INC
Internal Medicine (Rheumatology)
1250 S SUNSET AVE, SUITE 201
WEST COVINA, CA 91790
Los Angeles County (626) 962-3254
BRIAN K MACHIDA MD A MEDICAL CORP
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1250 S SUNSET AVE, #206
WEST COVINA, CA 91790
Los Angeles County (626) 338-4453
HARMON PHYSICAL THERAPY, INC.
Clinic/Center (Physical Therapy)
1250 S SUNSET AVE, #204
WEST COVINA, CA 91790
Los Angeles County (626) 960-2853
DR. KENNETH TYE M.D.
Internal Medicine (Cardiovascular Disease)
1250 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 960-6588
MR. BUFORD K HARMON P.T.
Physical Therapist
1250 S SUNSET AVE, SUITE 204
WEST COVINA, CA 91790
Los Angeles County (626) 960-2853
ALEXANDER A MAGLUNOG MD INC
Surgery
1250 S SUNSET AVE, SUITE 201
WEST COVINA, CA 91790
Los Angeles County (626) 962-3254
CALIFORNIA CANCER MEDICAL CENTER INC
Specialist
1250 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 856-5858
WILSHIRE ONCOLOGY MEDICAL GROUP, INC.
Specialist
1250 S SUNSET AVE, 303
WEST COVINA, CA 91790
Los Angeles County (626) 856-5858

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 Jonathan Tye's NPI number?

The NPI number for Jonathan Tye is 1417057068. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Jonathan Tye located?

Jonathan Tye practices at 1250 S Sunset Ave Ste 202, West Covina, CA 91790. The listed phone number is (626) 960-6588.

What is Jonathan Tye's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jonathan Tye enrolled in Medicare?

Yes. Jonathan Tye 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.

Does Jonathan Tye hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0937008) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jonathan Tye was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.