Individual provider Active NPI

Timothy Robert Byers, PA-C

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1467563320
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2015032407 Issued in MO
Practice address
2340 E Meyer Blvd BLDG 2
Suite 382
Kansas City, MO 64132-1105
Phone
(816) 523-7088
Fax
(855) 412-7268
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13820 CA
Physician Assistant 363A00000X 2015032407 MO Primary

Addresses

Primary practice location

2340 E Meyer Blvd BLDG 2
Suite 382
Kansas City, MO 64132-1105

Mailing address

2340 E Meyer Blvd BLDG 2
Suite 382
Kansas City, MO 64132-1105
Phone (816) 523-7088

Other practice location 1

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TIMOTHY.BYERS@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151005002204 MO Practitioner - Physician Assistant 0547288961 Reassigns benefits to 1 organization
I20151028002322 KS Practitioner - Physician Assistant 0547288961

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1225 S Grand Blvd
Saint Louis, MO 63104-1016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100Reported as group
Quality
64.66
Promoting interoperability
99
Improvement activities
40
Cost
71.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13820CAMDSpeech-Language Pathologist
PA13820CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Jun 1, 2025 Accepting new patients
Gustafson Orthopedics, Inc. Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: timothy.byers@hca2.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1467563320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD BLDG 2",
            "address_2": "SUITE 382",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "816-523-7088",
            "fax_number": "855-412-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD BLDG 2",
            "address_2": "SUITE 382",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "816-523-7088",
            "fax_number": "855-412-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041016",
            "country_code": "US",
            "telephone_number": "314-617-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYERS",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13820",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2015032407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TIMOTHY.BYERS@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2340 E Meyer Blvd Bldg 2",
            "address_2": "SUITE 382",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641321105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.