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TYLER JACK BRANHAM PA-C, ATC
NPI 1679143812
Physician Assistant in Lubbock, TX

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
4110 22ND PL, LUBBOCK, TX 79410(806) 792-4329 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2021, Jun 29, 2021 (2 updates tracked since 2021).

About Tyler Jack Branham Pa-c, Atc NPPES

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

TYLER JACK BRANHAM PA-C, ATC (NPI 1679143812) is an individual physician assistant in Lubbock, Texas, licensed in Texas (PA14675) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679143812
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER JACK BRANHAMCredential: PA-C, ATC
Location Address4110 22ND PLLubbock, TX 79410-1122
Mailing Address4903 75th StLubbock, TX 79424-2144 · (806) 241-9401
Phone(806) 792-4329
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2021
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1679143812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA14675
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT6761 (TX)
4110 22ND PL, Lubbock, TX 79410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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 Jack Branham Pa-c, Atc 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 ID4880098300
PECOS Enrollment IDI20210805002389
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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
148 services143 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
68 services65 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
65 services21 patients
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.
57 services55 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
36 services26 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450162
Location2412 50th StLubbock, TX 79412 · Lubbock County
Emergency services

Covenant Hospital Plainview

Acute Care Hospitals · Plainview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450539
Location2601 Dimmitt RdPlainview, TX 79072 · Hale County
Emergency services Birthing friendly

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Lubbock Heart Hospital LP

Acute Care Hospitals · Lubbock, TX
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450876
Location4810 North Loop 289Lubbock, TX 79416 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

DR. STEPHEN ARCHIE CORD M.D.
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
MR. JEREMY DAVIS L.A.T.
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
DR. JORDAN BRENT SIMPSON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
TYLER ROBERTS MSN, APRN, FNP-C
Nurse Practitioner (Family)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
CHARITY RENEE PURSER FNP
Nurse Practitioner
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 797-4985
ERICA MARIE KELLY ATC
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
ROXANA MORENO
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
DR. KEVIN CRAWFORD M.D.
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329

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 Branham's NPI number?

The NPI number for Tyler Branham is 1679143812. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Tyler Branham located?

Tyler Branham practices at 4110 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 792-4329.

What is Tyler Branham's specialty?

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

Is Tyler Branham enrolled in Medicare?

Yes. Tyler Branham 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.

What insurance does Tyler Branham accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Tyler Branham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tyler Branham affiliated with any hospitals?

According to CMS data, Tyler Branham is affiliated with Covenant Medical Center, Grace Surgical Hospital, Covenant Hospital Plainview, University Medical Center and Lubbock Heart Hospital LP.

When was this NPI record last updated?

The NPPES record for Tyler Branham was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.