TATUM THOMAS KOMENDA (PA-C) – Physician Assistant, NPI 1457085565
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,684 PHYSICIAN ASSISTANT in AZ
Provider Addresses for TATUM THOMAS KOMENDA (PA-C)
5850 E Still Cir
Mesa, AZ 852063618
Phone: (480) 219-6000
Type: Location
5850 E STILL CIR
MESA, AZ 852063618
Phone:
Type: Mailing
6320 W UNION HILLS DR STE 1400B
GLENDALE, AZ 853081061
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $480.
Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Smith+Nephew, Inc. ($211).
Total Amount
$480
General + Research + Ownership
Payments
7
Total payment records
General Amount
$480
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $211 |
| ORTHALIGN INC | $147 |
| Medical Device Business Services, Inc. | $100 |
| Molnlycke Health Care US, LLC | $22 |
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: 2023-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20231206002687 | I | Physician Assistant | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NV | |
| Physician Assistant | AZ | |
| P O D I A T R Y | AZ | |
| Orthopedic Surgery | AZ | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ |
Reviews
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