Doctor profile · Federal record
Dr. Tyler Gustafson, Physician Assistant
Physician Assistant · Jamestown, NY
- NPI 1609543255
- Accepts Medicare
- 5 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
15 S Main St
Jamestown, NY 147016626
(716) 969-4235 - Mailing address
-
390 East Fairmount Ave.
Lakewood, NY 14750
Credentials & registration
- NPI registered
- August 2021 — 5 yrs on file
- Profile last updated
- February 7, 2023
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #026970
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1609543255. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
332
Distinct HCPCS
3
Medicare allowed
$26,881
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 197 | 146 | $74 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 118 | 100 | $104 | |
81002 |
Urinalysis, manual test | 17 | 17 | $3 |
In context: peer comparison
Among 12 peers in Jamestown Physician Assistant, average services per provider: 78. This provider delivers 4.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
498
Patients
283
Total drug cost
$5,816
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 79 | 71 | $163 |
| Fluticasone Propionate | Generic | 66 | 31 | $880 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 40 | 21 | $989 |
| Azithromycin | Generic | 38 | 37 | $178 |
| Omeprazole | Generic | 33 | 14 | $503 |
| Amlodipine Besylate | Generic | 31 | 11 | $266 |
| Atorvastatin Calcium | Generic | 30 | 0 | $364 |
| Doxycycline Monohydrate | Generic | 30 | 29 | $444 |
| Triamcinolone Acetonide | Generic | 28 | 14 | $95 |
| Gabapentin | Generic | 25 | 11 | $656 |
Hospital affiliations
Frequently asked questions
What is Dr. Tyler Gustafson's medical specialty?
Dr. Tyler Gustafson practices Physician Assistant in Jamestown, NY.
Where does Dr. Tyler Gustafson practice?
Dr. Tyler Gustafson practices at 15 S Main St, Jamestown, NY 147016626. Office phone: 7169694235.
What is Dr. Tyler Gustafson's NPI?
Dr. Tyler Gustafson's National Provider Identifier (NPI) is 1609543255, issued by NPPES.
Does Dr. Tyler Gustafson accept Medicare assignment?
Yes. Dr. Tyler Gustafson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tyler Gustafson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Urinalysis, manual test (HCPCS 81002). Source: CMS Medicare Physician & Other Practitioners file.