Tyler Gustafson, PHYSICIAN ASSISTANT
NPI 1609543255 · Physician Assistant · Jamestown, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Gustafson, PHYSICIAN ASSISTANT is a Physician Assistant provider in Jamestown, NY (NPI 1609543255).
Provider details
- NPI number
- 1609543255
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 026970 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
409 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 148 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 132 | $103 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 118 | $73 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 11 | $11 |
Typical Medicare-allowed amounts for these services range $11–$103 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 46 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 75 | 63 |
| Fluticasone Propionate | 57 | 28 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 57 | 55 |
| Atorvastatin Calcium | 52 | 23 |
| Omeprazole | 49 | 23 |
| Diclofenac Sodium | 47 | 26 |
| Azithromycin | 44 | 40 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Frequently asked questions
- What is Tyler Gustafson's NPI number?
- Tyler Gustafson's National Provider Identifier (NPI) is 1609543255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Gustafson's specialty?
- Tyler Gustafson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tyler Gustafson located?
- Tyler Gustafson's practice location on file with NPPES is 15 S Main St, Jamestown, NY 14701-6626.
- What is Tyler Gustafson's phone number?
- The practice phone number listed in the NPPES registry for Tyler Gustafson is (716) 969-4235.
- Does Tyler Gustafson accept Medicare?
- Tyler Gustafson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Gustafson's NPI active?
- Yes — Tyler Gustafson's NPI (1609543255) is active in the NPPES registry as of the last update on 2023-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.