Tyler J Gavinski, PA-C

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1083668651 Issued in MT

Practice address

2475 E Broadway St
Helena, MT 59601-4928

Phone

(406) 444-2150

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

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 MT

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roundup Memorial Hospital AssociationGroup PAC ID 5395646707, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roundup Memorial Healthcare Hospital, Roundup, MT, CCN 271346
• St Peters Health Hospital, Helena, MT, CCN 270003

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Roundup Memorial Hospital Association

  dba Roundup Memorial Healthcare - Clinic

  • Rural Health Clinic/Center
  • Roundup, MT
  • NPI 1902908262

  Single Specialty

  Medicare reassignment NPD (past)
• Lewis and Clark Emergency Physicians P C

  • Emergency Medicine Physician
  • Helena, MT
  • NPI 1083668651
  Medicare reassignment
• Roundup Memorial Hospital Association

  dba Roundup Memorial Healthcare

  • Critical Access Hospital
  • Roundup, MT
  • NPI 1386751196
  Medicare reassignment

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

• Roundup Memorial Hospital Association

  dba Roundup Memorial Healthcare

  • Critical Access Hospital
  • Roundup, MT
  • NPI 1386751196
  Care Compare affiliation
• St Peter's Medical Group North

  • Family Medicine Physician
  • Helena, MT
  • NPI 1477844744

  Hospital

  Care Compare affiliation
• St. Peter's Health

  dba St Peters Medical Office Building

  • Family Medicine Physician
  • Helena, MT
  • NPI 1083869390

  Hospital

  Care Compare affiliation
• St. Peter's Health

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1528023520
  Care Compare affiliation
• St. Peter's Hospital

  • Ambulance
  • Helena, MT
  • NPI 1760586481

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1891529418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WINCHESTER WAY",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972009",
            "telephone_number": "608-575-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-444-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVINSKI",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "1083668651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Claire Gardner, LCSW, LAC
• Lynn Merie Gardner, LCPC
• Shannon Gardner, APRN, NP-C
• Christopher Drew Garton, RPH
• Molly Ann Gathman, DPT
• Krystle Gawel-Kulesa, LCSW
• Genetics Medical Group PLLC
• Michael Charles German II, PMHNP
• Kammeron Elske Gersbach, D.C.
• Andrew P Gilbert, MD

• Emergency Medicine Physician in Helena, MT
• Providers in Helena, MT by specialty
• Emergency Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.