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MR. TYLER JOSEPH GUSTAFSON PHYSICIAN ASSISTANT
NPI 1609543255
Physician Assistant in Jamestown, NY

Active since August 23, 2021PECOS EnrolledAccepts Medicare Assignment
15 S MAIN ST, JAMESTOWN, NY 14701(716) 969-4235 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2023, Aug 23, 2021 (2 updates tracked since 2021).

About Mr. Tyler Joseph Gustafson Physician Assistant NPPES

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

MR. TYLER JOSEPH GUSTAFSON PHYSICIAN ASSISTANT (NPI 1609543255) is an individual physician assistant in Jamestown, New York, licensed in New York (026970) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609543255
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TYLER JOSEPH GUSTAFSONCredential: PHYSICIAN ASSISTANT
Location Address15 S MAIN STJamestown, NY 14701-6626
Mailing Address390 East Fairmount Ave.Lakewood, NY 14750 · (716) 526-0156
Phone(716) 969-4235
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 23, 2021
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1609543255 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 NY · 026970
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.
15 S MAIN ST, Jamestown, NY 14701
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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 Joseph Gustafson Physician Assistant 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 ID1456757301
PECOS Enrollment IDI20210901002231
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 3

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.
132 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services77 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14701 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

DREW GIBSON
Physical Therapy Assistant
15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701
Chautauqua County (716) 488-2322
DR. ROBERT BAILEY MD
Family Medicine
15 S MAIN ST, SUITE 250 - FAMILY PRACTICE
JAMESTOWN, NY 14701
Chautauqua County (716) 488-1878
LEANDRA NICOLE ST. PIERRE DPT, CSCS
Physical Therapist
15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701
Chautauqua County (716) 488-2322
SHIRLEY J SWENSON FNP
Nurse Practitioner (Family)
15 S MAIN ST, SUITE 160
JAMESTOWN, NY 14701
Chautauqua County (716) 484-7107
KAROLEE HUTCHINSON PTA
Physical Therapy Assistant
15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701
Chautauqua County (716) 488-2322
TIMOTHY BROWN
Surgery
15 S MAIN ST, SUITE 170
JAMESTOWN, NY 14701
Chautauqua County (716) 483-1183
SHADEN ALFALLAY
Internal Medicine
15 S MAIN ST, SUITE 150 INTERNAL MEDICINE
JAMESTOWN, NY 14701
Chautauqua County (716) 484-8610
DR. GEORGE L SO M.D.
Internal Medicine (Cardiovascular Disease)
15 S MAIN ST, SUITE 110 - CARDIOLOGY
JAMESTOWN, NY 14701
Chautauqua County (716) 483-2320

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 Gustafson's NPI number?

The NPI number for Tyler Gustafson is 1609543255. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Tyler Gustafson located?

Tyler Gustafson practices at 15 S Main St, Jamestown, NY 14701. The listed phone number is (716) 969-4235.

What is Tyler Gustafson's specialty?

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

Is Tyler Gustafson enrolled in Medicare?

Yes. Tyler Gustafson 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.

Is Tyler Gustafson affiliated with any hospitals?

According to CMS data, Tyler Gustafson is affiliated with Upmc Chautauqua At Wca.

When was this NPI record last updated?

The NPPES record for Tyler Gustafson was last updated on February 7, 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.