Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881019925 Individual Practitioner Male Practitioner

Dr. Tyson Rand Kinnick , PBT(ASCP), PhD, PA-C

Physician Assistant • Alamosa, CO

Professional Overview & Biography Verified Profile Summary

Dr. Tyson Kinnick, PBT(ASCP), PhD, PA-C is a certified Physician Assistant practicing in Alamosa, CO. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Kinnick delivers high-quality medical care to the local community at 128 MARKET ST.

Dr. Kinnick does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include assessment of emotional or behavioral problems, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

128 Market St

Alamosa, CO 811012290

Telephone 7195871001
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Alamosa, CO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -5.1 yrs vs City Avg
City Avg: 18.1 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Alamosa, CO (3810 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kinnick (13 Years) 13 Yrs
Alamosa Specialty Average (18.1 Years) 18.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96127 Assessment of emotional or behavioral problems
50 40 $25.00 $4.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 26 $218.00 $109.59
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $152.00 $77.78

Medical Specialties & State Licenses

CMS Verified: 2024-01-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA.0008078

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IA 002413

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wy License Number
986 (WY)
Commercial Insurance / Payer ID Npi Number
1881019925

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Stephen Schiffer , DDS

Dentist - General Practice

NPI 1003898016

Doctor of Dental Surgery

NPI 1205677655

Doctor of Dental Surgery

NPI 1275521015

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location January 18, 2024

Registered at 128 MARKET ST, ALAMOSA, CO 811012290 (Tel: 7195871001)

📍
Updated Practice Location March 28, 2022

Registered at 5647 US HIGHWAY 26, DUBOIS, WY 825139607 (Tel: 3074552516)

📍
Updated Business Mailing Address March 28, 2022

Registered at 5647 US HIGHWAY 26, DUBOIS, WY 825139607 (Tel: 3074552516)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Physician Assistant (License #002413 in IA)

NPI Profile Active August 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2017

Registered at 7309 N KNOXVILLE AVE STE 1, PEORIA, IL 616142086 (Tel: 3096929898)

📍
Updated Business Mailing Address August 20, 2017

Registered at 7309 N KNOXVILLE AVE STE 1, PEORIA, IL 616142086 (Tel: (309) 692-9898)

👤
Provider Name / Credentials Updated August 20, 2017

Recorded as TYSON KINNICK, PBT(ASCP), PHD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2017

Physician Assistant (License #085.005762 in IL)

NPI Profile Active July 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2015

Registered at 405 MONROE ST, PELLA, IA 502191189 (Tel: 6416283832)

📍
Updated Business Mailing Address July 31, 2015

Registered at 405 MONROE ST, PELLA, IA 502191189 (Tel: 6416283832)

👤
Provider Name / Credentials Updated July 31, 2015

Recorded as TYSON KINNICK, PBT(ASCP), PHD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2015

Physician Assistant (License #002413 in IA)

🟢
Initial NPI Registration & Enumeration February 26, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881019925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2014
Last Update: January 18, 2024
Sole Proprietor: No

Mailing Address

5647 Us Highway 26

Dubois, WY 825139607

Phone: 3074552516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.