Active NPI 1467955526 Individual Practitioner Male Practitioner

Tye Frank Johnson , PA

Physician Assistant • Salem, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tye Johnson, PA is a certified Physician Assistant practicing in Salem, UT. With approximately 9 years of clinical experience since completing medical education in 2017, Tye Johnson delivers high-quality medical care to the local community at 555 W SR 164.

Tye Johnson maintains professional affiliations with Revere Health Pc, Ihc Health Services Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

555 W Sr 164

Salem, UT 84653

Telephone 8014654896

Fax 8014653267

Associated Practice Facility / Clinic

🏢 Revere Health Pc Facility NPI 1942233986

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, UT

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -2.1 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

11 Specialists

Practicing in Salem, UT (1904 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (9 Years) 9 Yrs

Salem Specialty Average (11.1 Years) 11.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	68	67	$193.44	$72.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$273.22	$103.49
81003 Automated urinalysis test	26	26	$5.08	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$254.00	$90.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	92	$143.78	$72.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$179.00	$90.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	11	$128.29	$64.84
81003 Automated urinalysis test	15	15	$4.93	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$207.15	$103.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	142	$137.13	$73.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	19	$124.24	$58.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	31	$208.14	$104.95
36415 Insertion of needle into vein for collection of blood sample	41	33	$10.00	$2.97
81003 Automated urinalysis test	39	36	$5.03	$2.22
80053 Blood test, comprehensive group of blood chemicals	27	24	$23.00	$10.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	24	23	$14.00	$7.69
80061 Blood test, lipids (cholesterol and triglycerides)	19	19	$28.00	$13.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$191.00	$106.59
83036 Hemoglobin A1C level	18	12	$18.56	$9.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	11	$41.24	$11.65
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	11	11	$220.00	$139.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	234	192	$142.03	$74.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	55	$204.90	$100.85
36415 Insertion of needle into vein for collection of blood sample	46	36	$9.93	$3.00
81003 Automated urinalysis test	45	38	$8.11	$2.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	18	$126.00	$59.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	18	$43.00	$11.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	26	$13.89	$7.77
80053 Blood test, comprehensive group of blood chemicals	26	23	$23.00	$10.56
83036 Hemoglobin A1C level	24	21	$21.00	$9.71
80061 Blood test, lipids (cholesterol and triglycerides)	16	15	$28.00	$13.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$205.50	$108.55
90662 Influenza vaccine split virus, preservative free	11	11	$84.00	$59.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$181.00	$92.17
G0008 Administration of influenza virus vaccine	11	11	$19.00	$13.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	34	$196.19	$90.33
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$135.00	$62.09
G0008 Administration of influenza virus vaccine	21	21	$19.00	$16.23
90662 Influenza vaccine split virus, preservative free	19	19	$68.00	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$181.83	$89.70
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$122.82	$61.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$122.00	$60.13

Medical Specialties & State Licenses

CMS Verified: 2020-04-22

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 10701069-1206

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.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

395 W Bulldog Blvd, Provo, UT 846043328

Revere Health Pc

555 W Sr, Salem, UT 84653

Phone: 8014654813

Ihc Health Services Inc

3249 N 1200, Lehi, UT 840439772

Phone: 8017534300

Ihc Health Services Inc

354 W Crossroads Blvd, Saratoga Springs, UT 840455506

Phone: 8013415295

Ihc Health Services Inc

765 E Marker Place Dr, Spanish Fork, UT 846601396

Phone: 3853445651

Ihc Health Services Inc

98 N 1100, American Fork, UT 840032940

Ihc Health Services Inc

819 E Market Place Dr, Spanish Fork, UT 846601396

Phone: 8013577420

Ihc Health Services Inc

819 E Market Place Dr, Spanish Fork, UT 846601396

Phone: 8014652559

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

354 W State Rd, Saratoga Springs, UT 840455506

Phone: 8013415200

Practice Associates & Co-Workers

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

33 Associated Practitioners

Lacey Winkel , FNP-C

Nurse Practitioner - Family

NPI 1003517913

Family Nurse Practitioner (Certified)

Robert Wright , PA-C

Physician Assistant

NPI 1073284345

Physician Assistant (Certified)

Dr. Frank Archer , MD

Family Medicine

NPI 1093710998

Doctor of Medicine (M.D.)

George Baker , PA-C

Physician Assistant

NPI 1124046370

Physician Assistant (Certified)

Kaitlyn Albrecht , MSN, RN, FNP-BC

Nurse Practitioner - Primary Care

NPI 1174141964

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Board Certified)

Bryn Nelson , FNP-C

Nurse Practitioner - Family

NPI 1184439119

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 15, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2018

Registered at 555 W SR 164, SALEM, UT 84653 (Tel: 8014654896)

📍

Updated Business Mailing Address March 15, 2018

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

👤

Provider Name / Credentials Updated March 15, 2018

Recorded as TYE JOHNSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2018

Physician Assistant (License #10701069-1206 in UT)

🟢

Initial NPI Registration & Enumeration March 15, 2018

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: 1467955526

Entity Type:

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

Enumeration Date: March 15, 2018

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Attn: Credentialing

Provo, UT 846043305

Phone: 8013548225

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.