Tyler Fancher, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5701 W 119TH St Ste 410
Overland Park, KS 66209-3721

Phone

(913) 345-6901

NPI assigned

Nov 29, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Menorah Medical Group LLCGroup PAC ID 1355535162, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Kansas City Orthopaedic Institute Hospital, Leawood, KS, CCN 170188

Merit-based Incentive Payment System (MIPS)

Final score

82.28 of 100Reported as group

Quality

78.53

Promoting interoperability

99

Improvement activities

40

Cost

63.24

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: tyler.fancher@hca2.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Menorah Medical Group, LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1386957223
  Medicare reassignment Care Compare group
• Menorah Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1922358902
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kansas City Orthopaedic Institute LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1457364408
  Care Compare affiliation
• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1346908191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 410",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 410",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-345-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Macallan Ln Unit 11",
            "address_purpose": "LOCATION",
            "city": "Triadelphia",
            "state": "WV",
            "postal_code": "260592478",
            "country_code": "US",
            "telephone_number": "417-540-2423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANCHER",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dental Co, LLC
• Family Eyecare of Overland Park, P.a.
• Family Health Center, PA
• Family Health Group, Inc
• Family Health Medical Group of Overland Park, LLC
• Whitney Blaire Fancher, M.D.
• Jacob John Fanders, D.C.
• Martha Sue Fanning, M.D.
• Stephen Fanous
• Kimberly A Farag, LPC

• Physician Assistant in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.