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Active NPI 1386213916 Individual Practitioner Male Practitioner

Tyler Gregory Rose , PA-C

Physician Assistant • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tyler Rose, PA-C is a certified Physician Assistant practicing in Providence, RI. With approximately 5 years of clinical experience since completing medical education in 2021, Tyler Rose delivers high-quality medical care to the local community at 825 CHALKSTONE AVE.

Tyler Rose is affiliated with Affinity Physicians Llc. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

825 Chalkstone Ave

Providence, RI 029084728

Telephone 4014562121
Associated Practice Facility / Clinic
🏢 Roger Williams Medical Center Facility NPI 1649278250

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rose (5 Years) 5 Yrs
Providence Specialty Average (10.6 Years) 10.6 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
99284 Emergency department visit with moderate level of medical decision making
47 45 $569.00 $100.28
99283 Emergency department visit with low level of medical decision making
22 18 $300.00 $58.94
99285 Emergency department visit for life threatening or functioning severity
12 12 $838.00 $144.74

Medical Specialties & State Licenses

CMS Verified: 2024-06-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01345

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 - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Tollgate Rd, Warwick, RI 028862759

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Secondary Practice Locations

455 Toll Gate Rd

Warwick, RI 028862759

Phone: 4017377010

101 Dudley St

Providence, RI 029052401

Phone: 4012741122

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1164095881

Doctor of Medicine (M.D.)

Dr. Antonio Barajas , MD

Emergency Medicine - Emergency Medical Services

NPI 1285714501

Doctor of Medicine (M.D.)

Brian Miller , CRNA

Nurse Anesthetist, Certified Registered

NPI 1609854454

Certified Registered Nurse Anesthetist

Meredith Geary , PA-C

Physician Assistant - Medical

NPI 1982837910

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2024

Physician Assistant

NPI Profile Active July 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2021

Registered at 825 CHALKSTONE AVE, PROVIDENCE, RI 029084728 (Tel: 4014562121)

📍
Updated Business Mailing Address July 12, 2021

Registered at 459 EAST AVE # 3F, PAWTUCKET, RI 028607606 (Tel: 8605756412)

👤
Provider Name / Credentials Updated July 12, 2021

Recorded as TYLER ROSE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2021

Physician Assistant (License #PA01345 in RI)

🟢
Initial NPI Registration & Enumeration June 18, 2021

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: 1386213916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2021
Last Update: June 20, 2024
Sole Proprietor: No

Mailing Address

459 East Ave # 3f

Pawtucket, RI 028607606

Phone: 8605756412

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.