TYLER GREG EGAN PA-C
NPI 1508352915
Physician Assistant in Williston, FL

Active since July 09, 2018PECOS EnrolledAccepts Medicare Assignment
130 SW 7TH ST, WILLISTON, FL 32696(352) 528-5801(352) 528-6019 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2025, May 16, 2024, Dec 4, 2023 and 1 more (4 updates tracked since 2018).

About Tyler Greg Egan Pa-c NPPES

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

TYLER GREG EGAN PA-C (NPI 1508352915) is an individual physician assistant in Williston, Florida, licensed in Florida (PA9111365) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Williston, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508352915
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER GREG EGANCredential: PA-C
Location Address130 SW 7TH STWilliston, FL 32696-2404
Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (321) 332-6947 · Fax (407) 286-4515
Fax(352) 528-6019
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 9, 2018
Last NPPES UpdateFebruary 4, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
NPI 1508352915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9111365
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.

130 SW 7TH ST, Williston, FL 32696

Secondary Practice Location 1

Location 1300A NW 1st AveWilliston, FL 32696-2006 · Phone (352) 529-0966 · Fax (352) 529-0967

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

Tyler Greg Egan 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 ID9638419849
PECOS Enrollment IDI20220418001224
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 32696 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier13 claims13 services$23.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers26 claims26 services$77.73 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$31.80 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$169.59 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 6

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

Nurse Practitioner (Primary Care)
130 SW 7TH ST
WILLISTON, FL 32696
Family Medicine
130 SW 7TH ST
WILLISTON, FL 32696
Nurse Practitioner (Family)
130 SW 7TH ST
WILLISTON, FL 32696
Nurse Practitioner (Family)
130 SW 7TH ST
WILLISTON, FL 32696
Internal Medicine
130 SW 7TH ST
WILLISTON, FL 32696
Internal Medicine
130 SW 7TH ST
WILLISTON, FL 32696

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508352915, enumerated as an "individual" on July 09, 2018.

The provider is located at 130 SW 7TH ST WILLISTON, FL 32696 and the phone number is (352) 528-5801.

Physician Assistant with taxonomy code 363A00000X.