Tyler Davis, PAC
NPI 1396472833ActiveIndividual· Physician Assistant· Safford, AZ
Physician Assistant (PAC) with Mt Graham Regional Medical Center Inc and 1 other group, practicing in Safford, Arizona. Part D covered 100 prescriptions written in 2024, 97% of them generic. Lists Mt. Graham Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1396472833 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Aug 4, 2022 |
| Last updated in NPPES | Sep 28, 2022 |
| Certified by provider | Sep 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 9349 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 100 · 100 30-day fills |
|---|---|
| Patients | 72 |
| Total drug cost | $1,547 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Mt Graham Regional Medical Center IncSafford, AZ · 67 clinicians
- Gila Health ResourcesMorenci, AZ · 28 clinicians
Hospital affiliation
- Mt. Graham Regional Medical CenterSafford, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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