DR. TYLER ROSS HANNY DO
NPI 1700452901
Family Medicine in Logan, UT

Active since May 28, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Jun 20, 2024, Feb 7, 2024 and 3 more (6 updates tracked since 2021).

About Dr. Tyler Ross Hanny Do NPPES

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

DR. TYLER ROSS HANNY DO (NPI 1700452901) is an individual family medicine provider in Logan, Utah, licensed in Utah (13680528-1204) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and maintains a secondary practice location in Flagstaff.

NPPES Registry Identity

NPI1700452901
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TYLER ROSS HANNYCredential: DO
Location Address412 N 200 ELogan, UT 84321-4038
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 713-2800 · Fax (435) 713-2836
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 28, 2021
Last NPPES UpdateSeptember 11, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1700452901 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 UT · 13680528-1204
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R3693 (AZ)
412 N 200 E, Logan, UT 84321

Secondary Practice Location 1

Location 12920 N 4th StFlagstaff, AZ 86004-1816 · Phone (928) 522-9400

Accepted 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

Dr. Tyler Ross Hanny Do 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 ID6204237787
PECOS Enrollment IDI20240626001127
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 2

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.
15 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84321 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

Family Medicine
412 N 200 E
LOGAN, UT 84321
Specialist
412 N 200 E
LOGAN, UT 84321
Family Medicine
412 N 200 E
LOGAN, UT 84321
Emergency Medicine
412 N 200 E
LOGAN, UT 84321
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
412 N 200 E
LOGAN, UT 84321
Family Medicine
412 N 200 E
LOGAN, UT 84321
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
412 N 200 E
LOGAN, UT 84321
Clinic/Center
412 N 200 E, LOGAN CLINIC
LOGAN, UT 84321

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 Hanny's NPI number?

The NPI number for Tyler Hanny is 1700452901. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Tyler Hanny located?

Tyler Hanny practices at 412 N 200 E, Logan, UT 84321. The listed phone number is (435) 713-2800.

What is Tyler Hanny's specialty?

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

Is Tyler Hanny enrolled in Medicare?

Yes. Tyler Hanny 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 Hanny accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Tyler Hanny 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 Hanny affiliated with any hospitals?

According to CMS data, Tyler Hanny is affiliated with Logan Regional Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Hanny was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.