1. Home
  2. Directory
  3. Colorado
  4. Denver
  5. Physician Assistant
  6. NPI Profile

ETHAN JOHN MYTINGER
NPI 1932753100
Physician Assistant in Denver, CO

Active since July 26, 2019PECOS EnrolledAccepts Medicare Assignment
1601 E 19TH AVE STE 5500, DENVER, CO 80218(303) 777-7112(303) 722-7010 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2022, Jul 26, 2019 (2 updates tracked since 2019).

About Ethan John Mytinger NPPES

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

ETHAN JOHN MYTINGER (NPI 1932753100) is an individual physician assistant in Denver, Colorado and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1932753100
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameETHAN JOHN MYTINGER
Location Address1601 E 19TH AVE STE 5500Denver, CO 80218-1291
Mailing Address3333 S Bannock St Ste 350Englewood, CO 80110-2426 · (303) 957-1310 · Fax (303) 761-4252
Phone(303) 777-7112
Fax(303) 722-7010
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 26, 2019
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1932753100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1601 E 19TH AVE STE 5500, Denver, CO 80218
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 S Potomac St Ste 120Aurora, CO 80012-4514 · Phone (303) 777-7112 · Fax (303) 722-7010

Other Identifiers 2

Medicaid6000000003748572WI
Medicaid9000181996CO

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

Ethan John Mytinger 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 ID446672026
PECOS Enrollment IDI20200629001030
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 5

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 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.
106 services92 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 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.
34 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80218 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.

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.

SHEILA MAIER D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1601 E 19TH AVE STE 5500
DENVER, CO 80218
Denver County (303) 228-1240
HEALTHONE CLINIC SERVICES - MEDICAL SPECIALTIES LLC
Internal Medicine
1601 E 19TH AVE STE 5500
DENVER, CO 80218
Denver County (303) 228-1240
AMANDA OSBORNE DPT
Physical Therapist
1601 E 19TH AVE STE 5500
DENVER, CO 80218
Denver County (720) 402-3801

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 Ethan Mytinger's NPI number?

The NPI number for Ethan Mytinger is 1932753100. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Where is Ethan Mytinger located?

Ethan Mytinger practices at 1601 E 19th Ave Ste 5500, Denver, CO 80218. The listed phone number is (303) 777-7112.

What is Ethan Mytinger's specialty?

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

Is Ethan Mytinger enrolled in Medicare?

Yes. Ethan Mytinger 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.

Is Ethan Mytinger affiliated with any hospitals?

According to CMS data, Ethan Mytinger is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ethan Mytinger was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.