DR. DAVID P TIETJEN (MD) – Nephrology Physician, NPI 1508838384
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 NEPHROLOGY in AL
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Provider Addresses for DR. DAVID P TIETJEN (MD)
2780, Bob Wallace Avenue Southwest, West Huntsville, Huntsville, Madison County, Alabama, 35805, United States
HUNTSVILLE, AL 358054104
Phone: (256) 534-4568
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $1,174.
Total Amount is formed as General ($1,174) + Research ($0) + Ownership ($0) = $1,174.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($126).
Total Amount
$1,174
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,174
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $126 |
| Ardelyx, Inc. | $121 |
| Amgen Inc. | $104 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $98 |
| Calliditas Therapeutics US Inc. | $87 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100810000454 | I | Nephrology | AL | TBD |
| I20120312000712 | I | Nephrology | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 348 | 66 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 98 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 22 | $0 |
Insurance plans in this area (ZIP 35805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| - | AL | |
| N E P H R O L O G Y | AL | |
| Physician Assistant | AL | |
| Nephrology, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL | |
| - | AL | |
| Physician Assistant | AL | |
| N E U R O L O G Y | AL |
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