National Provider Identifier
Tyler Joseph Gustafson, PHYSICIAN ASSISTANT
Tyler Joseph Gustafson, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Jamestown, NY and a listed phone number of (716) 969-4235.
Source: public NPPES record, last updated February 07, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1609543255
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 23, 2021
- Last Updated
- February 07, 2023
Practice Location
- 15 S Main St
- Jamestown, NY 14701-6626
Phone: (716) 969-4235
Mailing Address
- 390 East Fairmount Ave.
- Lakewood, NY 14750
Specialties
- Physician Assistant (363A00000X)
Browse Similar Providers
See more Physician Assistant providers in Jamestown, NY.
Medicare Part B Activity
Reported 332 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Physician Assistant providers in the Jamestown, NY metro area.
This provider is in the 61st percentile for Medicare service volume.
Around the middle of the peer group.
Performs 21% more Medicare services than the peer median.
Higher than 33 of 54 peers.
- Activity Percentile
- 61.1%
- Rank by Services
- 21 of 54
- Total Services
- 332
- Est. Allowed Value
- $26,881.04
- Dataset Year
- 2023
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Physician Assistant across the Jamestown, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 14 to 2,650 total Medicare services.
Top Clinical Services
- 99213: Established patient office or other outpatient visit, 20-29 minutes
197 services | $14,506.50
- 99214: Established patient office or other outpatient visit, 30-39 minutes
118 services | $12,316.57
- 81002: Urinalysis, manual test
17 services | $57.97
Full Record
- NPI
- 1609543255
- Entity Type
- Individual
- Last Name
- Gustafson
- First Name
- Tyler
- Middle Name
- Joseph
- Name Prefix
- Mr.
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 390 East Fairmount Ave.
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750
- Mailing Country
- US
- Mailing Phone
- (716) 526-0156
- Practice Street Address
- 15 S Main St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6626
- Practice Country
- US
- Practice Phone
- (716) 969-4235
- Enumeration Date
- August 23, 2021
- Last Updated
- February 07, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)