TANNER CAVANAUGH
NPI 1811394976
Physician Assistant - Medical in Modesto, CA

Active since December 04, 2014
75/100
CMS Quality Rating
3105 MCHENRY AVE STE 101, MODESTO, CA 95350(209) 575-2700 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tanner Cavanaugh NPPES

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

TANNER CAVANAUGH (NPI 1811394976) is an individual medical provider in Modesto, California, licensed in California (59206) and active in the NPI registry since December 2014. He maintains a secondary practice location in Owyhee.

NPPES Registry Identity

NPI1811394976
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTANNER CAVANAUGH
Location Address3105 MCHENRY AVE STE 101Modesto, CA 95350-1439
Mailing AddressPo Box 130Owyhee, NV 89832
Sole ProprietorYes
Enumeration DateDecember 4, 2014
Last NPPES UpdateMay 17, 2021
NPPES CertifiedMay 17, 2021
NPI 1811394976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 59206
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 74381 (NV)
3105 MCHENRY AVE STE 101, Modesto, CA 95350

Secondary Practice Location 1

Location 11623 Hospital LoopOwyhee, NV 89832-1200 · Phone (775) 757-2415 ext. 4220

Other Identifiers 1

Other74381NV · Emt Licensce

Areas of Expertise CMS Part B claims 38

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,709 services214 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.
1,007 services477 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
450 services309 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
404 services254 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
393 services263 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
332 services158 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Medical Specialty)
3105 MCHENRY AVE STE 101
MODESTO, CA 95350
Nurse Practitioner
3105 MCHENRY AVE STE 101
MODESTO, CA 95350
Physician Assistant (Medical)
3105 MCHENRY AVE STE 101
MODESTO, CA 95350

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 Tanner Cavanaugh's NPI number?

The NPI number for Tanner Cavanaugh is 1811394976. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Tanner Cavanaugh located?

Tanner Cavanaugh practices at 3105 Mchenry Ave Ste 101, Modesto, CA 95350. The listed phone number is (209) 575-2700.

What is Tanner Cavanaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tanner Cavanaugh was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.