Tyler Brueckman, PA-C
NPI 1417780545ActiveIndividual· Physician Assistant· Dayton, OH
Physician Assistant (PA-C) with Beacon Orthopaedics and Sports Medicine Ltd, practicing in Dayton, Ohio. Their prescriptions cost Medicare Part D more than their services did: $4,236 for 104 claims, against $1,864 paid for services in 2024. Lists Miami Valley Hospital as a hospital affiliation.
Overview
| NPI | 1417780545 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Aug 23, 2024 |
| Last updated in NPPES | Oct 13, 2025 |
| Certified by provider | Oct 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50-008947 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 32 across 11 procedure codes |
| Paid by Medicare | $1,864 |
Part D prescriptions in 2024
| Prescriptions (claims) | 104 · 165 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $4,236 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Beacon Orthopaedics and Sports Medicine LtdGranville, OH · 471 clinicians
Hospital affiliation
- Miami Valley HospitalDayton, OH
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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All 251 physician assistants in Dayton · All physician assistants in Ohio