TYLER BAGUE DPT
NPI 1902778780
Physical Therapist in Skaneateles, NY

Active since September 22, 2025Accepts Medicare Assignment
810 W GENESEE STREET RD, SKANEATELES, NY 13152(315) 291-7042 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tyler Bague Dpt NPPES

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

TYLER BAGUE DPT (NPI 1902778780) is an individual physical therapist in Skaneateles, New York, licensed in New York (054665-01) and active in the NPI registry since September 2025. He is a graduate of State University Of Ny Upstate Medical University (2025).

NPPES Registry Identity

NPI1902778780
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTYLER BAGUECredential: DPT
Location Address810 W GENESEE STREET RDSkaneateles, NY 13152-9311
Mailing Address2476 W Genesee Tpke Apt 207Camillus, NY 13031-9524
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2025
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 21, 2025
✔ NPI 1902778780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 054665-01
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
810 W GENESEE STREET RD, Skaneateles, NY 13152

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Bague Dpt 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 ID9638648959
PECOS Enrollment IDI20260515002582

Medicare Billing Reassignment

Medicare enrollment records show Tyler Bague reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
240 W SENECA ST STE 12
Manlius, NY 13104
  • Reassigned Medicare billing, New York enrollment
  • 111 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13152 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 10

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

Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Clinic/Center (Physical Therapy)
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Clinic/Center (Physical Therapy)
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapy Assistant
810 W GENESEE STREET RD
SKANEATELES, NY 13152

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 Bague's NPI number?

The NPI number for Tyler Bague is 1902778780. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Tyler Bague located?

Tyler Bague practices at 810 W Genesee Street Rd, Skaneateles, NY 13152. The listed phone number is (315) 291-7042.

What is Tyler Bague's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tyler Bague enrolled in Medicare?

Yes. Tyler Bague 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.

Which organization bills Medicare for Tyler Bague's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Bague reassigns Medicare benefits to Sports Physical Therapy Of New York, P.C. (Manlius, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Bague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyler Bague was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.