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DR. TYLER PRIMAVERA D.O.
NPI 1972965127
Internal Medicine in Bullhead City, AZ

Active since March 27, 2016PECOS EnrolledAccepts Medicare Assignment
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442(928) 763-2273 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2025, Aug 31, 2019, Mar 27, 2016 (3 updates tracked since 2016).

About Dr. Tyler Primavera D.o. NPPES

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

DR. TYLER PRIMAVERA D.O. (NPI 1972965127) is an individual internal medicine provider in Bullhead City, Arizona, licensed in Utah (12576081-1204) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and maintains a secondary practice location in Ogden.

NPPES Registry Identity

NPI1972965127
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TYLER PRIMAVERACredential: D.O.
Location Address2735 SILVER CREEK RDBullhead City, AZ 86442-7924
Mailing Address4401 Harrison BlvdOgden, UT 84403-3195 · (801) 387-2800
Phone(928) 763-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 27, 2016
Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1972965127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 12576081-1204
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2735 SILVER CREEK RD, Bullhead City, AZ 86442
Open in Google Maps ↗

Secondary Practice Location 1

Location 14401 Harrison BlvdOgden, UT 84403-3195 · Phone (801) 387-2800

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

Dr. Tyler Primavera D.o. 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 ID7810282977
PECOS Enrollment IDI20230214001590
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tyler Primavera reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comprehensive Hospitalist Services Of Arizona, LLC
Same address
Hospitalist
2735 SILVER CREEK RD
Bullhead City, AZ 86442
  • Reassigned Medicare billing, Arizona enrollment
  • 117 clinicians in this Medicare group
NPI 1265823215 (928) 763-2273
Ihc Health Services Inc
143 mi
Psychiatry
292 S 1470 E
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1457496531 (435) 251-5900
Utah Regional Hospitalists LLC
408 mi
Hospitalist
5505 S 900 E STE 240
Murray, UT 84117
  • Reassigned Medicare billing, Utah enrollment
  • 271 clinicians in this Medicare group
NPI 1962821223 (844) 474-4019

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

Hospital Affiliations CMS Care Compare 2

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86442 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$19.01 avg. paid by Medicare
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
2 suppliers21 claims21 services$102.26 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.

CLAYSON J BUFTON RN, CRNA
Nurse Anesthetist, Certified Registered
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-7924
MR. ALEXIS PEREZ CRNA
Nurse Anesthetist, Certified Registered
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County No phone listed
MELANIE SARABIA
Nurse Anesthetist, Certified Registered
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-2273
TRI STATE ANESTHESIA ASSOCIATES PLC
Anesthesiology
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-2273
ADENIKE OKODUWA PHARMD
Pharmacist
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-0258
KEVIN BOWDEN
Nurse Anesthetist, Certified Registered
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-2273
DR. JOHN K DAVIS DO
Emergency Medicine
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-2273
DANIELLE JORDAN
Nurse Anesthetist, Certified Registered
2735 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-2273

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 Primavera's NPI number?

The NPI number for Tyler Primavera is 1972965127. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Tyler Primavera located?

Tyler Primavera practices at 2735 Silver Creek Rd, Bullhead City, AZ 86442. The listed phone number is (928) 763-2273.

What is Tyler Primavera's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tyler Primavera enrolled in Medicare?

Yes. Tyler Primavera 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 organizations bill Medicare for Tyler Primavera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Primavera reassigns Medicare benefits to 3 organizations: Comprehensive Hospitalist Services Of Arizona, LLC (Bullhead City, AZ), Ihc Health Services Inc (St George, UT) and Utah Regional Hospitalists LLC (Murray, UT). Each 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 Primavera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tyler Primavera affiliated with any hospitals?

According to CMS data, Tyler Primavera is affiliated with Mckay-Dee Hospital and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Primavera was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.