Doctor profile · Federal record

Dr. Tyler Wagstaff

Physician Assistant · Surgical Physician Assistant · Kalispell, MT

  • NPI 1205266053
  • 13 yrs on file
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
160 Heritage Way Ste 202
Kalispell, MT 599013127
(406) 752-8433
fax (406) 756-6768
Mailing address
350 Heritage Way Ste 2100
Kalispell, MT 599013167

Credentials & registration

NPPES · NUCC
NPI registered
November 2013 — 13 yrs on file
Profile last updated
May 31, 2023
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Montana #MED-PAC-LIC-79860 · Idaho #PA1227

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1205266053. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
12
Distinct HCPCS
1
Medicare allowed
$675
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 12 12 $56

In context: peer comparison

Among 15 peers in Kalispell Physician Assistant, average services per provider: 126. This provider delivers 0.1× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Tyler Wagstaff's medical specialty?
Dr. Tyler Wagstaff practices Physician Assistant in Kalispell, MT.
Where does Dr. Tyler Wagstaff practice?
Dr. Tyler Wagstaff practices at 160 Heritage Way Ste 202, Kalispell, MT 599013127. Office phone: 4067528433.
What is Dr. Tyler Wagstaff's NPI?
Dr. Tyler Wagstaff's National Provider Identifier (NPI) is 1205266053, issued by NPPES.
What procedures does Dr. Tyler Wagstaff commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.