Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184067951 Individual Practitioner Male Practitioner

Tyler Jay Peake , PA-C

Physician Assistant • Vancouver, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tyler Peake, PA-C is a certified Physician Assistant practicing in Vancouver, WA. With approximately 12 years of clinical experience since completing medical education in 2014, Tyler Peake delivers high-quality medical care to the local community at 3101 SE 192ND AVE STE 106.

Tyler Peake is affiliated with Peacehealth and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3101 Se 192nd Ave Ste 106

Vancouver, WA 986831443

Telephone 3605537400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -1.1 yrs vs City Avg
City Avg: 13.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate
21.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peake (12 Years) 12 Yrs
Vancouver Specialty Average (13.1 Years) 13.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
187 122 $435.00 $109.53
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
86 67 $55.00 $13.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
37 29 $612.00 $153.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
21 21 $442.00 $111.28
99213 Established patient office or other outpatient visit, typically 15 minutes
15 14 $308.00 $77.86
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
12 12 $21.00 $6.42
81003 Automated urinalysis test
11 11 $26.00 $2.20

Medical Specialties & State Licenses

CMS Verified: 2022-09-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60517964

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

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1184067951 (WA)

Hospital & Practice Group Affiliations

Peacehealth

505 Ne 87th Ave, Vancouver, WA 986641965

Peacehealth

16811 Se Mcgillivray Blvd, Vancouver, WA 986833404

Phone: 3607358100

Secondary Practice Locations

19005 Se 34th St

Vancouver, WA 986831450

Phone: 3607266720

3181 Sw Sam Jackson Park Rd # Gh219

Portland, OR 972393011

Phone: 5034941484

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Fang-Yu Lee , MD

Family Medicine

NPI 1255998324

Doctor of Medicine (M.D.)

Dennen Frazier , PA-C

Physician Assistant

NPI 1366856965

Physician Assistant (Certified)

Dr. Linh Dao , MD

Internal Medicine

NPI 1518997584

Doctor of Medicine (M.D.)

Alexis Griffiths , PA

Physician Assistant

NPI 1538486139

Physician Assistant

Natasha Johnson , PA-C

Physician Assistant

NPI 1578349700

Physician Assistant (Certified)

Dr. Zheru Li , MD

Family Medicine

NPI 1578718755

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location September 28, 2022

Registered at 3101 SE 192ND AVE STE 106, VANCOUVER, WA 986831443 (Tel: 3605537400)

📍
Updated Business Mailing Address September 28, 2022

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032156494)

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

Physician Assistant

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2018

Registered at 19005 SE 34TH ST, VANCOUVER, WA 986831450 (Tel: 3607266720)

📍
Updated Business Mailing Address January 10, 2018

Registered at 19005 SE 34TH ST, VANCOUVER, WA 986831450

👤
Provider Name / Credentials Updated January 10, 2018

Recorded as TYLER PEAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Physician Assistant

NPI Profile Active April 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2013

Registered at 3181 SW SAM JACKSON PARK RD # GH219, PORTLAND, OR 972393011 (Tel: 5034941484)

📍
Updated Business Mailing Address April 11, 2013

Registered at 3181 SW SAM JACKSON PARK RD # GH219, PORTLAND, OR 972393011

👤
Provider Name / Credentials Updated April 11, 2013

Recorded as TYLER PEAKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2013

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 11, 2013

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: 1184067951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2013
Last Update: September 28, 2022
Sole Proprietor: No

Mailing Address

Po Box 3158

Portland, OR 972083158

Phone: 5032156494

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.