MR. TYSON E BUBNAR PA-C
NPI 1720312861
Physician Assistant in Fairmont, WV
About Mr. Tyson E Bubnar Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TYSON E BUBNAR PA-C (NPI 1720312861) is an individual physician assistant in Fairmont, West Virginia, licensed in West Virginia (699) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Ripley.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Tyson E Bubnar 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 26554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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.
FAIRMONT, WV 26554
FAIRMONT, WV 26554
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 Tyson Bubnar's NPI number?
The NPI number for Tyson Bubnar is 1720312861. It was assigned to this individual provider in the NPPES registry on September 22, 2009.
Where is Tyson Bubnar located?
Tyson Bubnar practices at 1325 Locust Ave, Fairmont, WV 26554. The listed phone number is (907) 947-4406.
What is Tyson Bubnar's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tyson Bubnar enrolled in Medicare?
Yes. Tyson Bubnar 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 Tyson Bubnar accept?
Health plans from CareSource list Tyson Bubnar 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 Tyson Bubnar affiliated with any hospitals?
According to CMS data, Tyson Bubnar is affiliated with West Virginia University Hospitals, Inc.
When was this NPI record last updated?
The NPPES record for Tyson Bubnar was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Mr. Tyson E Bubnar, PA-C · NPI 1720312861
Physician Assistant physician in Fairmont, West Virginia. Individual provider, active in the CMS NPPES registry since September 22, 2009.
## Identity
- **NPI:** 1720312861 (Entity type: Individual)
- **Enumerated:** September 22, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 699 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1325 LOCUST AVE, Fairmont, WV 26554-1435
- **Phone:** (907) 947-4406
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1720312861) · Data from the CMS NPPES public registry.