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TYLER SHAWN PASSMORE PA-C
NPI 1730868019
Physician Assistant in Du Bois, PA

Active since July 14, 2023PECOS EnrolledAccepts Medicare Assignment
145 HOSPITAL AVE STE 212, DU BOIS, PA 15801(814) 375-4045(814) 375-4041 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2024, Jul 14, 2023 (2 updates tracked since 2023).

About Tyler Shawn Passmore Pa-c NPPES

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

TYLER SHAWN PASSMORE PA-C (NPI 1730868019) is an individual physician assistant in Du Bois, Pennsylvania, licensed in Pennsylvania (OA006515) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1730868019
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER SHAWN PASSMORECredential: PA-C
Location Address145 HOSPITAL AVE STE 212Du Bois, PA 15801-1461
Mailing Address145 Hospital AveDu Bois, PA 15801-1462 · (814) 375-4045 · Fax (814) 375-4041
Phone(814) 375-4045
Fax(814) 375-4041
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 14, 2023
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1730868019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · OA006515✔ Licensed in PA · MA064608
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.
145 HOSPITAL AVE STE 212, Du Bois, PA 15801
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Secondary Practice Location 1

Location 1100 Peach St Ste 400Erie, PA 16507-1423 · Phone (814) 877-9100 · Fax (814) 454-8470

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Shawn Passmore 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.

PECOS PAC ID8224490370
PECOS Enrollment IDI20230822000792
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 7

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 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.
183 services139 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.
159 services116 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.
104 services16 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
56 services45 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.
26 services22 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.
20 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Passmore's NPI number?

The NPI number for Tyler Passmore is 1730868019. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Where is Tyler Passmore located?

Tyler Passmore practices at 145 Hospital Ave Ste 212, Du Bois, PA 15801. The listed phone number is (814) 375-4045.

What is Tyler Passmore's specialty?

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

Is Tyler Passmore enrolled in Medicare?

Yes. Tyler Passmore 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 Passmore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tyler Passmore 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 Passmore affiliated with any hospitals?

According to CMS data, Tyler Passmore is affiliated with Penn Highlands Dubois and Penn Highlands Brookville.

When was this NPI record last updated?

The NPPES record for Tyler Passmore was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.