TIFFANY WATERS (P.A.) – Surgical Physician Assistant, NPI 1184652695
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for TIFFANY WATERS (P.A.)
Orthopaedic Center, 2405, Shadelands Drive, Shadelands Business Park, Walnut Creek, Contra Costa County, California, 95498, United States
WALNUT CREEK, CA 945982444
Phone: (925) 939-8585
Fax: (925) 933-2709
Type: Location
PO BOX 31396
WALNUT CREEK, CA 945988396
Phone: (925) 939-8585
Fax: (925) 933-2709
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Bioventus LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $15 |
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: 2004-04-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040413001793 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 284 | 186 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 93 | 63 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 68 | 68 | $0 |
| 73502 | X-ray of hip, 2-3 views | 48 | 41 | $0 |
| 73564 | X-ray of knee, 4 or more views | 26 | 26 | $0 |
Insurance plans in this area (ZIP 94598)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CA | |
| - | FL | |
| Nurse Practitioner | VA | |
| U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA |
Reviews
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