DR. TYRONE GARY BRISTOL M.D.
NPI 1437150596
Psychiatry & Neurology - Psychiatry in Lancaster, PA

Q: What is Tyrone Bristol's NPI number?

The NPI number for Tyrone Bristol is 1437150596. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Tyrone Bristol's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Tyrone Bristol was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 10, 2005PECOS Enrolled

802 NEW HOLLAND AVE STE 100, LANCASTER, PA 17602(717) 560-3782(717) 560-3787 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Tyrone Gary Bristol M.d. NPPES

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

DR. TYRONE GARY BRISTOL M.D. (NPI 1437150596) is an individual psychiatry provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD053658L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437150596

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. TYRONE GARY BRISTOLCredential: M.D.

Location Address802 NEW HOLLAND AVE STE 100Lancaster, PA 17602-2288

Mailing Address802 New Holland Ave Ste 100Lancaster, PA 17602-2288 · (717) 560-3782 · Fax (717) 560-3787

Phone(717) 560-3782

Fax(717) 560-3787

Sole ProprietorYes

Enumeration DateAugust 10, 2005

Last NPPES UpdateApril 12, 2023

NPPES CertifiedApril 12, 2023

✔ NPI 1437150596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in PA · MD053658L✔ Licensed in GA · 11658

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPediatricsTaxonomy 208000000X · License MD053658L (PA), 2013-02294 (NC), 198984 (NY)

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD053658L (PA)

802 NEW HOLLAND AVE STE 100, Lancaster, PA 17602

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Other Identifiers 3

MedicaidNC2031SC

Medicaid1437150596NC

Medicaid01697965NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyrone Gary Bristol M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Tyrone Bristol reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lancaster General Medical Group

Same address

Addiction Medicine

802 NEW HOLLAND AVENUE, SUITE 100
Lancaster, PA 17602

Reassigned Medicare billing, Pennsylvania enrollment
727 clinicians in this Medicare group

NPI 1790399533 (717) 544-1427

Lancaster General Hospital

0.9 mi

Psychiatry

555 N DUKE ST
Lancaster, PA 17602

Reassigned Medicare billing, Pennsylvania enrollment
34 clinicians in this Medicare group

NPI 1306961800 (717) 544-5511

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 17602 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 14

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

MARGARET HOLLY LIBONATI MD

Family Medicine