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Active NPI 1720312861 Individual Practitioner Male Practitioner

Tyson E Bubnar , PA-C

Physician Assistant • Fairmont, WV

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tyson Bubnar, PA-C is a certified Physician Assistant practicing in Fairmont, WV. With approximately 17 years of clinical experience since completing medical education in 2009, Tyson Bubnar delivers high-quality medical care to the local community at 1325 LOCUST AVE.

Tyson Bubnar maintains professional affiliations with Southern California Permanente Medical Group, Sanjay Bharti Md, Pllc 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, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1325 Locust Ave

Fairmont, WV 265541435

Telephone 9079474406
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fairmont, WV

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +5.2 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
15 Specialists

Practicing in Fairmont, WV (1163 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bubnar (17 Years) 17 Yrs
Fairmont Specialty Average (11.8 Years) 11.8 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
54 34 $239.32 $99.93

Medical Specialties & State Licenses

CMS Verified: 2021-12-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WV 699

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

State License AK 931

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

Southern California Permanente Medical Group

5601 De Soto Ave, Woodland Hills, CA 913676701

Phone: 8187192000

Sanjay Bharti Md, Pllc

51 Southland Dr, Fairmont, WV 265542244

Phone: 3044132552

Secondary Practice Locations

122 Pinnell St

Ripley, WV 252719101

Phone: 3043722731

Practice Associates & Co-Workers

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

31 Associated Practitioners
Dr. Amanda Puleo , DO

Emergency Medicine

NPI 1013666999

Doctor of Osteopathic Medicine (D.O.)

Kathryn Preast , FNP-BC

Nurse Practitioner - Family

NPI 1023534864

Family Nurse Practitioner (Board Certified)

Dr. Charles Mihelic , MD

Emergency Medicine

NPI 1063452738

Doctor of Medicine (M.D.)

Dr. Ryan Hayhurst , PharmD

Pharmacy - Institutional Pharmacy

NPI 1114804705

Doctor of Pharmacy (Pharm.D.)

John Priest

Emergency Medical Technician, Basic

NPI 1124779186
Rachel Cottrill

Nurse Practitioner - Family

NPI 1124816020

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2021

Physician Assistant (License #931 in AK)

📍
Updated Practice Location September 05, 2019

Registered at 1325 LOCUST AVE, FAIRMONT, WV 265541435 (Tel: 9079474406)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2019

Physician Assistant (License #699 in WV)

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2013

Registered at 23434 GLENN HILL CIR, CHUGIAK, AK 995676278 (Tel: 9079474406)

📍
Updated Business Mailing Address August 08, 2013

Registered at 23434 GLENN HILL CIR, CHUGIAK, AK 995676278 (Tel: 9079474406)

👤
Provider Name / Credentials Updated August 08, 2013

Recorded as TYSON BUBNAR, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Physician Assistant (License #931 in AK)

🟢
Initial NPI Registration & Enumeration September 22, 2009

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: 1720312861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2009
Last Update: May 27, 2025
Sole Proprietor: No

Mailing Address

23434 Glenn Hill Cir

Chugiak, AK 995676278

Phone: 9079474406

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.