IndividualActiveAccepts Medicare

Tyler Clutter, PA-C

NPI 1679285993 · Medical Physician Assistant · Mishawaka, IN

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1679285993
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Medical Physician AssistantPrimary363AM0700XLicense 10003930A (IN)
Physician Assistants & Advanced Practice Nursing Providers
Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(40/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
3 yrs in NPPES registry
Profile completeness28% of score
83% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
70 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)
Emergency Department Visit With Moderate Level of Medical Decision Making99284	40	$94
Emergency Department Visit With High Level of Medical Decision Making99285	30	$137

Typical Medicare-allowed amounts for these services range $94–$137 (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 · 4 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Ibuprofen	17	16
Cyclobenzaprine Hcl	14	14
Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen	12	12
Cephalexin	11	11

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Practice location

5215 Holy Cross Pkwy

Mishawaka, IN 46545-1469

Phone: (574) 523-3160

Fax: (574) 523-3221

Approximate (ZIP-level) locationGet directions

Mailing address