Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003211103 Individual Practitioner Male Practitioner

Tyler Roth Larson , PA-C

Physician Assistant • Sweet Home, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tyler Larson, PA-C is a certified Physician Assistant practicing in Sweet Home, OR. With approximately 12 years of clinical experience since completing medical education in 2014, Tyler Larson delivers high-quality medical care to the local community at 1289 49TH AVE.

Tyler Larson is affiliated with Mckenzie Physician Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1289 49th Ave

Sweet Home, OR 97386

Telephone 5414516250
Associated Practice Facility / Clinic
🏢 Mid-Valley Healthcare, Inc. Facility NPI 1528334125

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sweet Home, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +4.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Sweet Home, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Larson (12 Years) 12 Yrs
Sweet Home Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
42 42 $955.00 $146.19
99284 Emergency department visit with moderate level of medical decision making
31 30 $650.00 $100.64
99283 Emergency department visit with low level of medical decision making
18 18 $341.00 $59.39

Medical Specialties & State Licenses

CMS Verified: 2026-06-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA201515

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

Medicaid State Provider ID
500785150 (OR)

Hospital & Practice Group Affiliations

Mckenzie Physician Services Llc

1750 Thompson Rd, Coos Bay, OR 974202100

Phone: 5412690333

Mckenzie Physician Services Llc

1460 G St, Springfield, OR 974774112

Phone: 5417448613

Mckenzie Physician Services Llc

1460 G St, Springfield, OR 974774112

Phone: 5419886380

Secondary Practice Locations

1460 G St

Springfield, OR 974774112

Phone: 5417264000

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Tessa Reff , MD

Family Medicine

NPI 1093006744

Doctor of Medicine (M.D.)

Meaghan Norvell , PA-C

Physician Assistant - Medical

NPI 1184029167

Physician Assistant (Certified)

Rachel Palmer

Family Medicine

NPI 1306347265
NPI 1396262440

Doctor of Osteopathic Medicine (D.O.)

Dr. Alan Blake , MD

Family Medicine

NPI 1447293444

Doctor of Medicine (M.D.)

NPI 1467845388

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2026

Physician Assistant (License #PA201515 in OR)

📍
Updated Practice Location November 27, 2023

Registered at 1289 49TH AVE, SWEET HOME, OR 97386 (Tel: 5414516250)

📍
Updated Business Mailing Address November 27, 2023

Registered at PO BOX 1189, CORVALLIS, OR 973391189

📍
Updated Practice Location September 27, 2023

Registered at 679 MAIN ST, SWEET HOME, OR 973863305 (Tel: 5414516250)

📍
Updated Business Mailing Address September 27, 2023

Registered at 2850 TENNYSON AVE APT 356, EUGENE, OR 974087599 (Tel: 4106939242)

📍
Updated Business Mailing Address February 05, 2020

Registered at 855 WEBSTER ST UNIT 1204, FORT WAYNE, IN 468022258 (Tel: 4106939242)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2020

Physician Assistant (License #10001988A in IN)

NPI Profile Active December 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2015

Registered at 3640 NEW VISION DR, FORT WAYNE, IN 468451716 (Tel: 2604825091)

📍
Updated Business Mailing Address December 15, 2015

Registered at 1129 FULTON ST, FORT WAYNE, IN 468023319 (Tel: 4106939242)

👤
Provider Name / Credentials Updated December 15, 2015

Recorded as TYLER LARSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2015

Physician Assistant (License #50.004194 in OH)

🟢
Initial NPI Registration & Enumeration October 31, 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: 1003211103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2014
Last Update: June 11, 2026
Sole Proprietor: No

Mailing Address

Po Box 1189

Corvallis, OR 973391189

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.