Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ty David Bradford , PA-C

Physician Assistant โ€ข Salem, OR

Active NPI 1053075077 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

863 Liberty St Ne
Salem, OR 973012451

Call 8775221275 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

863 Liberty St Ne

Salem, OR 973012451

Telephone 8775221275
Organization at the Same NPPES Address or Phone
Ideal Option Pllc Facility NPI 1063069300

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

NPPES lists 1 additional practice-address record in Yreka, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Ideal Option Pllc; Ideal Telemedicine Services Llc. 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

2021

Medicare patients

16 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $17,336 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $14,623 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

398 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

$55,954 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 โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $32.15 across 2 records.

By nature of payment

  • Food and Beverage: $32.15 across 2 records.

Reporting-company totals

  • Alkermes, Inc.: $18.67 across 1 record.
  • Braeburn Inc.: $13.48 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

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 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

2021

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Ty Bradford 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 Ty Bradford 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 Salem and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Salem, OR (2024, 58 clinicians with data). Median for this group: 277. Middle half: 126 to 605.

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Salem, OR (2024, 58 clinicians with data). Median for this group: $18,476. Middle half: $9,041 to $34,458.

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $15,959. Middle half: $7,110 to $33,008.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Salem, OR (2024, 58 clinicians with data). Median for this group: $14,820. Middle half: $6,994 to $25,664.

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $11,156. Middle half: $5,029 to $23,443.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Salem, OR (2024, 76 clinicians with data). Median for this group: 657. Middle half: 171 to 1,560.

Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: 340. Middle half: 96 to 1,131.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Salem, OR (2024, 76 clinicians with data). Median for this group: $40,503. Middle half: $3,849 to $220,911.

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: $8,538. Middle half: $984 to $101,656.

128 active clinicians are listed under Physician Assistant with a practice address in Salem, OR (2,095 in Oregon).

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

Telehealth indicator in Salem

10.2% of these 128 clinicians have the CMS telehealth indicator.

75% of these 128 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), 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 ยท 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 ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $32.15.

Manufacturer Payment Nature Product Type Amount ($)
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $18.67
Braeburn Inc.
Food and Beverage
In-kind items and services
BRIXADI General $13.48

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

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers
121 16 $231.82 $60.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
96 12 $317.92 $104.85

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

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

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl 279 4,789 $26,032.28 32
Naltrexone Hcl Naltrexone Hcl 53 583 $557.50 11
Bupropion Hcl Sr Bupropion Hcl 29 327 $101.23 โ€”
Buprenorphine Hcl Buprenorphine Hcl 23 477 $529.17 โ€”
Sublocade Buprenorphine 14 392 $28,733.34 โ€”

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: 2025-03-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA207912

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA PA60273

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: Oregon Medical Board.
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

I20231016000813

Enrollment State Jurisdiction

WA

PECOS Control ID

7012386717

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

Ideal Option Pllc

404 Ne Penn Ave, Bend, OR 977014264

Phone: 8775221275

Ideal Telemedicine Services Llc

863 Liberty St Ne, Salem, OR 973012451

Phone: 5095709302

Ideal Option Pllc

231 Lyon St Se, Albany, OR 973212707

Phone: 8775221275

Ideal Option Pllc

158 W Olive St, Newport, OR 973653824

Phone: 8775221275

Ideal Telemedicine Services Llc

545 Se Oak St, Hillsboro, OR 971234147

Phone: 8775221275

Ideal Option Pllc

500 Sw 7th St, Renton, WA 980572983

Phone: 8775221275

Ideal Option Pllc

545 Se Oak St, Hillsboro, OR 971234147

Phone: 87752212753049

Ideal Option Pllc

863 Liberty St Ne, Salem, OR 973012451

Phone: 8775221275

Ideal Option Pllc

1318 Nw 9th St, Corvallis, OR 973304565

Phone: 87752212753049

Secondary Practice Locations

444 Bruce St

Yreka, CA 960973450

Phone: 5308424121

Clinicians Sharing This Practice Address or Phone

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

40 listed
Amber Adams , MSN, APRN-CNP, FNP-C

Nurse Practitioner - Family

NPI 1962789826

Master of Science in Nursing, Advanced Practice Registered Nurse - Certified Nurse Practitioner, Family Nurse Practitioner (Certified)

NPI 1801089123

PHYSICIANASSISSTANT

Connie Ahn , NP

Nurse Practitioner - Family

NPI 1104493865

Nurse Practitioner

Reece Allawatt , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1992192660

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Jade Ammons , FNP-BC

Nurse Practitioner - Family

NPI 1164836862

Family Nurse Practitioner (Board Certified)

Vern Andrus , PA-C

Physician Assistant

NPI 1134609035

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Business Mailing Address March 04, 2025

Registered at 500 SW 7TH ST STE A205, RENTON, WA 980572983 (Tel: 8775221275)

๐Ÿ“
Updated Practice Location January 24, 2023

Registered at 863 LIBERTY ST NE, SALEM, OR 973012451 (Tel: 8775221275)

๐Ÿ“
Updated Business Mailing Address January 24, 2023

Registered at 1331 ORCHARD HEIGHTS RD NW APT 3069, SALEM, OR 973042573 (Tel: 5305980525)

โœ…
NPI Profile Active October 26, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 26, 2021

Registered at 444 BRUCE ST, YREKA, CA 960973450 (Tel: 5308424121)

๐Ÿ“
Business Mailing Address (Initial Record) October 26, 2021

Registered at PO BOX 661, ETNA, CA 960270661 (Tel: 5305980525)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 26, 2021

Recorded as TY BRADFORD, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2021

Physician Assistant (license number reported to NPPES: CA PA60273)

๐ŸŸข
Initial NPI Registration & Enumeration October 26, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053075077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2021
Last Update: March 04, 2025
Sole Proprietor: No

Other Physician Assistants in Salem

All Physician Assistants in Salem

More public profiles in Oregon

Directory navigation, in NPI number order.

Mailing Address

500 Sw 7th St Ste A205

Renton, WA 980572983

Phone: 8775221275

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.