JUSTIN JAMES TYNAN PA-C, MPH
NPI 1619505922
Family Medicine in Auburn, CA

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
3280 PROFESSIONAL DR, AUBURN, CA 95602(530) 886-8630 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2022, May 26, 2021, Mar 31, 2020 (3 updates tracked since 2020).

About Justin James Tynan Pa-c, Mph NPPES

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

JUSTIN JAMES TYNAN PA-C, MPH (NPI 1619505922) is an individual family medicine provider in Auburn, California, licensed in California (PA59854) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619505922
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN JAMES TYNANCredential: PA-C, MPH
Location Address3280 PROFESSIONAL DRAuburn, CA 95602-2412
Mailing Address3280 Professional DrAuburn, CA 95602-2412 · (916) 626-2902
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2020
Last NPPES UpdateJanuary 26, 20223 updates tracked since enumeration
NPPES CertifiedOctober 16, 2021
NPI 1619505922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · PA59854
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3280 PROFESSIONAL DR, Auburn, CA 95602

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

Justin James Tynan Pa-c, Mph 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 ID9830596840
PECOS Enrollment IDI20211019002596
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 8

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.
194 services168 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.
147 services131 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
45 services45 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
30 services29 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95602 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
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

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
3 suppliers13 claims15 services$41.06 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 8

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

Physician Assistant
3280 PROFESSIONAL DR
AUBURN, CA 95602
Obstetrics & Gynecology
3280 PROFESSIONAL DR, SUITE A
AUBURN, CA 95602
Physician Assistant
3280 PROFESSIONAL DR
AUBURN, CA 95602
Physician Assistant (Medical)
3280 PROFESSIONAL DR
AUBURN, CA 95602
Obstetrics & Gynecology
3280 PROFESSIONAL DR, SUITE A
AUBURN, CA 95602
General Practice
3280 PROFESSIONAL DR
AUBURN, CA 95602
Nurse Practitioner (Family)
3280 PROFESSIONAL DR
AUBURN, CA 95602
Nurse Practitioner (Family)
3280 PROFESSIONAL DR
AUBURN, CA 95602

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 Justin Tynan's NPI number?

The NPI number for Justin Tynan is 1619505922. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Justin Tynan located?

Justin Tynan practices at 3280 Professional Dr, Auburn, CA 95602. The listed phone number is (530) 886-8630.

What is Justin Tynan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justin Tynan enrolled in Medicare?

Yes. Justin Tynan 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 Justin Tynan was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.