DR. TYSON RAND KINNICK PBT(ASCP), PHD, PA-C
NPI 1881019925
Physician Assistant in Alamosa, CO

Active since February 26, 2014PECOS Enrolled
128 MARKET ST, ALAMOSA, CO 81101(719) 587-1001 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2023, Aug 20, 2017 (2 updates tracked since 2017).

About Dr. Tyson Rand Kinnick Pbt(ascp), Phd, Pa-c NPPES

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

DR. TYSON RAND KINNICK PBT(ASCP), PHD, PA-C (NPI 1881019925) is an individual physician assistant in Alamosa, Colorado, licensed in Colorado (PA.0008078) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881019925
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDR. TYSON RAND KINNICKCredential: PBT(ASCP), PHD, PA-C
Location Address128 MARKET STAlamosa, CO 81101-2290
Mailing Address5647 Us Highway 26Dubois, WY 82513-9607 · (307) 455-2516
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 26, 2014
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1881019925 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 CO · PA.0008078 Licensed in IA · 002413
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.
128 MARKET ST, Alamosa, CO 81101

Other Identifiers 2

Other986WY · Wy License Number
Other1881019925Npi Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Tyson Rand Kinnick Pbt(ascp), Phd, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476785577
PECOS Enrollment IDI20231204001321
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 3

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
50 services40 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.
30 services26 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81101 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%591 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%89 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%650 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%650 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
16%650 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%650 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.27 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$38.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist (General Practice)
128 MARKET ST
ALAMOSA, CO 81101
Counselor (Professional)
128 MARKET ST
ALAMOSA, CO 81101
Internal Medicine
128 MARKET ST
ALAMOSA, CO 81101
Pediatrics
128 MARKET ST
ALAMOSA, CO 81101
Clinic/Center (Federally Qualified Health Center (FQHC))
128 MARKET ST
ALAMOSA, CO 81101
Registered Nurse
128 MARKET ST
ALAMOSA, CO 81101
Counselor (Professional)
128 MARKET ST
ALAMOSA, CO 81101
Dentist
128 MARKET ST
ALAMOSA, CO 81101

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 Kinnick's NPI number?

The NPI number for Tyson Kinnick is 1881019925. It was assigned to this individual provider in the NPPES registry on February 26, 2014.

Where is Tyson Kinnick located?

Tyson Kinnick practices at 128 Market St, Alamosa, CO 81101. The listed phone number is (719) 587-1001.

What is Tyson Kinnick's specialty?

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

Is Tyson Kinnick enrolled in Medicare?

Yes. Tyson Kinnick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyson Kinnick was last updated on January 18, 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.