Deactivated NPI 1053502054 Deactivated / Inactive NPI Male Practitioner

Tyson Holt Warner , PA-C

Physician Assistant • Sunny Isles Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tyson Warner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2007

NPI Deactivation Date July 23, 2026

Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Tyson Warner, PA-C was a registered Physician Assistant practicing in Sunny Isles Beach, FL. Throughout an active medical career spanning 19 years, Tyson Warner provided care at the practice location at 18260 N BAY RD until profile deactivation on 2026-07-23.

Historical Medicare Part B clinical services included emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

18260 N Bay Rd
# 512

Sunny Isles Beach, FL 331602743

Telephone 9542607421

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sunny Isles Beach, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.0 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Sunny Isles Beach, FL (10376 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	71	71	$257.51	$96.48
99285 Emergency department visit for life threatening or functioning severity	71	71	$374.27	$141.15
99283 Emergency department visit with low level of medical decision making	38	38	$154.42	$56.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	149	149	$338.21	$141.30
99284 Emergency department visit with moderate level of medical decision making	42	42	$239.00	$97.73
99283 Emergency department visit with low level of medical decision making	30	30	$136.63	$56.57
99282 Emergency department visit with straightforward medical decision making	29	28	$81.72	$34.09
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$126.81	$54.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	108	107	$325.00	$144.80
99284 Emergency department visit with moderate level of medical decision making	53	53	$221.00	$98.48
99283 Emergency department visit with low level of medical decision making	33	33	$116.00	$58.53
99282 Emergency department visit with straightforward medical decision making	28	28	$78.00	$34.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	92	92	$325.00	$142.86
99284 Emergency department visit with moderate level of medical decision making	64	64	$221.00	$96.17
99283 Emergency department visit with low level of medical decision making	51	51	$116.00	$53.81
99282 Emergency department visit with straightforward medical decision making	27	27	$78.00	$36.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$148.00	$64.78
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$96.00	$42.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	113	111	$236.80	$96.55
99285 Emergency department visit for life threatening or functioning severity	109	108	$344.54	$142.17
99282 Emergency department visit with straightforward medical decision making	26	26	$83.92	$33.99
99283 Emergency department visit with low level of medical decision making	16	16	$122.19	$50.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	103	103	$242.00	$93.90
99285 Emergency department visit for life threatening or functioning severity	86	86	$355.00	$138.96
99283 Emergency department visit with low level of medical decision making	40	40	$127.00	$50.14
99282 Emergency department visit with straightforward medical decision making	16	16	$85.00	$33.50
99291 Critical care, first 30-74 minutes	15	15	$381.00	$172.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	120	118	$242.00	$94.72
99285 Emergency department visit for life threatening or functioning severity	109	109	$355.00	$139.42
99282 Emergency department visit with straightforward medical decision making	17	17	$85.00	$33.38
99283 Emergency department visit with low level of medical decision making	13	13	$127.00	$49.95

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA 9103507

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.

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

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NPI Profile Active March 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 07, 2008

Registered at 18260 N BAY RD, # 512, SUNNY ISLES BEACH, FL 331602743 (Tel: 9542607421)

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Updated Business Mailing Address March 07, 2008

Registered at 18260 N BAY RD, # 512, SUNNY ISLES BEACH, FL 331602743

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Provider Name / Credentials Updated March 07, 2008

Recorded as TYSON WARNER, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2008

Physician Assistant (License #PA 9103507 in FL)

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Initial NPI Registration & Enumeration August 05, 2007

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: 1053502054

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 05, 2007

Last Update: March 07, 2008

Deactivation Date: July 23, 2026

Update or Correct Profile

Mailing Address

18260 N Bay Rd, # 512

Sunny Isles Beach, FL 331602743

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.