Tyler Grant Waldron, PA-C
NPI 1407205875ActiveIndividual· Physician Assistant· Mission Viejo, CA
Physician Assistant (PA-C) with Community Orthopedic Medical Group, practicing in Mission Viejo, California. 110 Medicare patients in 2024, $29,546 paid; all of their 629 Part D prescriptions were generic. Treace Medical Concepts, Inc. reported $19.69 in payments in 2025, mostly food and beverage. Lists Providence Mission Hospital as a hospital affiliation.
Overview
| NPI | 1407205875 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 7, 2016 |
| Last updated in NPPES | Jun 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 53447 | CA |
| Physician Assistant, Surgical | 363AS0400X | 53447 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 399 across 56 procedure codes |
| Paid by Medicare | $29,546 |
Part D prescriptions in 2024
| Prescriptions (claims) | 629 · 691 30-day fills |
|---|---|
| Patients | 196 |
| Total drug cost | $9,301 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Community Orthopedic Medical GroupMission Viejo, CA · 17 clinicians
Hospital affiliation
- Providence Mission HospitalMission Viejo, CA
Industry payments (Open Payments)
- 2025$19.69 · 1 payment from 1 company
- 2024$198.75 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Treace Medical Concepts, Inc. | $19.69 | 1 |
What the 2025 payments were for
- Food and Beverage$19.69 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 53 physician assistants in Mission Viejo · All physician assistants in California