TYLER M. CLARK PA-C
NPI 1952866576
Physician Assistant in Lakewood, CO

Active since February 07, 2019PECOS EnrolledAccepts Medicare Assignment
165 S UNION BLVD STE 800, LAKEWOOD, CO 80228(303) 988-2680(303) 896-8057 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 17, 2026, May 1, 2024, Feb 7, 2019 (3 updates tracked since 2019).

About Tyler M. Clark Pa-c NPPES

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

TYLER M. CLARK PA-C (NPI 1952866576) is an individual physician assistant in Lakewood, Colorado, licensed in Colorado (PA.0005701) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952866576
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER M. CLARKCredential: PA-C
Location Address165 S UNION BLVD STE 800Lakewood, CO 80228-2213
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Fax(303) 896-8057
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 7, 2019
Last NPPES UpdateApril 17, 20263 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1952866576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · PA.0005701
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.

165 S UNION BLVD STE 800, Lakewood, CO 80228

Other Identifiers 1

Medicaid9000170986CO

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 M. Clark 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 ID7810238243
PECOS Enrollment IDI20190411000771
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.

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.
51 services37 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.
38 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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 8

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

Internal Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Clinical Medical Laboratory
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Internal Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Physician Assistant
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Family Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Physician Assistant (Medical)
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Internal Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228
Family Medicine
165 S UNION BLVD STE 800
LAKEWOOD, CO 80228

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 Clark's NPI number?

The NPI number for Tyler Clark is 1952866576. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Tyler Clark located?

Tyler Clark practices at 165 S Union Blvd Ste 800, Lakewood, CO 80228. The listed phone number is (303) 988-2680.

What is Tyler Clark's specialty?

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

Is Tyler Clark enrolled in Medicare?

Yes. Tyler Clark 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.

When was this NPI record last updated?

The NPPES record for Tyler Clark was last updated on April 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.