Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tyler Barnes , PA-C

Physician Assistant β€’ Macomb, MI

Active NPI 1427755529 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

48801 Romeo Plank Rd Ste 103
Macomb, MI 480442165

Call 5867264823 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

48801 Romeo Plank Rd Ste 103

Macomb, MI 480442165

Telephone 5867264823
Fax 5867268365
Organization at the Same NPPES Address or Phone
Advanced Physician Care Organization Pllc Facility NPI 1023361813

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Silver Pine Medical Group Plc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

30-day fills

1,946 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$9,386 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $40.00 across 2 records.

By nature of payment

  • Food and Beverage: $40.00 across 2 records.

Reporting-company totals

  • Astellas Pharma US Inc: $20.22 across 1 record.
  • ACUMED LLC: $19.78 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tyler Barnes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tyler Barnes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Macomb and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: 302. Middle half: 82 to 1,061.

Too few clinicians listed under Physician Assistant in Macomb have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: $6,107. Middle half: $669 to $117,415.

Too few clinicians listed under Physician Assistant in Macomb have Medicare Part D data for 2024 to compare.

17 active clinicians are listed under Physician Assistant with a practice address in Macomb, MI (6,989 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Macomb

11.8% of these 17 clinicians have the CMS telehealth indicator.

41.2% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $40.00.

Manufacturer Payment Nature Product Type Amount ($)
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Veozah General $20.22
ACUMED LLC
Food and Beverage
In-kind items and services
Acumed General $19.78

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 111 639 $156.05 99
Atorvastatin Calcium Atorvastatin Calcium 64 5,480 $698.49 45
Losartan Potassium Losartan Potassium 60 4,050 $720.23 38
Levothyroxine Sodium Levothyroxine Sodium 45 3,264 $462.98 31
Methylprednisolone Methylprednisolone 37 222 $202.64 30
Amlodipine Besylate Amlodipine Besylate 37 2,550 $236.24 21
Doxycycline Hyclate Doxycycline Hyclate 34 299 $189.06 33
Simvastatin Simvastatin 32 2,880 $256.61 21
Metformin Hcl Metformin Hcl 31 2,630 $372.47 22
Amoxicillin Amoxicillin 29 263 $60.94 29
Alprazolam Alprazolam 29 917 $122.71 16
Lisinopril Lisinopril 26 2,290 $164.49 20
Gabapentin Gabapentin 26 1,631 $248.54 17
Azithromycin Azithromycin 25 129 $81.30 24
Furosemide Furosemide 24 1,497 $140.40 16
Metoprolol Succinate Metoprolol Succinate 24 2,040 $407.51 13
Cephalexin Cephalexin 22 180 $257.37 19
Omeprazole Omeprazole 22 1,620 $237.24 17
Albuterol Sulfate Hfa Albuterol Sulfate 22 590 $532.79 12
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 21 286 $193.08 15
Escitalopram Oxalate Escitalopram Oxalate 20 720 $138.99 β€”
Hydrochlorothiazide Hydrochlorothiazide 20 1,440 $101.97 16
Carvedilol Carvedilol 18 1,065 $117.37 11
Clopidogrel Clopidogrel Bisulfate 18 1,290 $301.25 11
Trazodone Hcl Trazodone Hcl 18 900 $293.12 13

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20230403000963

Enrollment State Jurisdiction

MI

PECOS Control ID

4789059874

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Silver Pine Medical Group Plc

43455 Schoenherr Rd, Sterling Heights, MI 483131972

Silver Pine Medical Group Plc

43455 Schoenherr Rd, Sterling Heights, MI 483131972

Phone: 5867264823

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
NPI 1598141822

Doctor of Nursing Practice

NPI 1396736724

Doctor of Medicine (M.D.)

Dena Fakhouri

Nurse Practitioner - Family

NPI 1427772631
Dr. Dean Fitch , DO

Family Medicine

NPI 1699462408

Doctor of Osteopathic Medicine (D.O.)

NPI 1023062759

Doctor of Medicine (M.D.)

NPI 1063683886

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated February 09, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from February 2023 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1427755529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2023
Last Update: May 26, 2023
Sole Proprietor: No

Other Physician Assistants in Macomb

All Physician Assistants in Macomb

Mailing Address

43455 Schoenherr Rd Ste 2

Sterling Heights, MI 483131972

Phone: 5867264823

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.