DR. TIFFANY HACKETT (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1003986415

DR. TIFFANY HACKETT (M.D.) is a healthcare provider. based in Los angeles, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. A77101 (CA). The NPI Number for DR. TIFFANY HACKETT (M.D.) is 1003986415

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY HACKETT (M.D.)
NPI
1003986415
Phone
(310) 967-1884
Address
PO BOX 51258
Enumeration Date
9 November 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
9252758210
Graduation Year
2000 (26 years ago)
PAC ID
2961479621
Group Practice PAC ID
9537481692
Professional Enrollment ID
I20040913000607
Address ID
CA945835406SA5401XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for DR. TIFFANY HACKETT (M.D.)

  • KLVE-FM (Los Angeles), Mount Wilson Red Box Road, Mount Wilson, Los Angeles County, California, 91023, United States

    LOS ANGELES, CA 900515558

    Phone: (310) 967-1884

    Fax: (310) 967-1744

    Type: Mailing

  • Cedars-Sinai Medical Center, 8700, Beverly Boulevard, West Hollywood, Los Angeles County, California, 90048, United States

    LOS ANGELES, CA 900481865

    Phone: (310) 967-1884

    Fax: (310) 967-1744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ConvaTec Inc. ($40).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-09-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040913000607IEmergency MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making261257$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only181178$0
99291Critical care, first 30-74 minutes8685$0
99284Emergency department visit with moderate level of medical decision making6666$0
View full utilization report →

Insurance plans in this area (ZIP 90051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537481692View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency Medicine, General Practice, Undersea And Hyperbaric MedicineCA
Emergency MedicineCA
-CA
Emergency MedicineCA
-CA
Emergency MedicineCA
General Surgery, Vascular SurgeryCA
-CA
-CA

Reviews

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Frequently asked questions

Is there an official ID for DR. TIFFANY HACKETT (M.D.) in U.S. healthcare records?
The official identifier for DR. TIFFANY HACKETT (M.D.) is NPI 1003986415.
Is there an active status for DR. TIFFANY HACKETT (M.D.)?
For scheduling context, DR. TIFFANY HACKETT (M.D.) is shown as active in the registry.
What area of care is associated with DR. TIFFANY HACKETT (M.D.)?
DR. TIFFANY HACKETT (M.D.)'s record emphasizes Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. TIFFANY HACKETT (M.D.) located near Los Angeles?
DR. TIFFANY HACKETT (M.D.) currently maps to Los Angeles, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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