DR. CANDICE TIFFANY MYHRE (MD) – Emergency Medicine Physician, NPI 1871543710

DR. CANDICE TIFFANY MYHRE (MD) is a healthcare provider. based in Manhattan beach, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A789420 (CA). The NPI Number for DR. CANDICE TIFFANY MYHRE (MD) is 1871543710

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDICE TIFFANY MYHRE (MD)
NPI
1871543710
Phone
(310) 944-2623
Address
201 44TH STREET
Enumeration Date
11 May 2006
Last Update Date
21 May 2008

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
8083229311
Graduation Year
2000 (26 years ago)
PAC ID
2769454123
Group Practice PAC ID
2860390283
Professional Enrollment ID
I20150331000319
Address ID
HI967507920KE79XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for DR. CANDICE TIFFANY MYHRE (MD)

  • 201, 44th Street, Manhattan Beach, Los Angeles County, California, 90266, United States

    MANHATTAN BEACH, CA 90266

    Phone: (310) 944-2623

    Type: Mailing

  • Lincoln Boulevard, Marina del Rey, Playa del Rey, Los Angeles, Los Angeles County, California, 90094, United States

    DANIEL FREEMAN MARINA HOSPITAL ED

    MARINA DEL REY, CA 90292

    Phone: (310) 822-6005

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-03-31

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
I20150331000319IEmergency MedicineHITBD

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 making136130$0
99284Emergency department visit with moderate level of medical decision making123117$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only116112$0
99291Critical care, first 30-74 minutes4038$0
View full utilization report →

Insurance plans in this area (ZIP 90266)

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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: 2860390283View full group profile
NameSpecialtyState
Emergency MedicineCA
Nurse PractitionerGA
Emergency MedicineHI
Emergency MedicineCE
Emergency Medicine, Internal MedicinePA
Emergency MedicineTX
Emergency MedicineHI
Emergency MedicineOH
Emergency MedicineHI
Emergency MedicineAZ

Reviews

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Frequently asked questions

What NPI should I save for DR. CANDICE TIFFANY MYHRE (MD)?
Save NPI 1871543710 if you need a stable reference for DR. CANDICE TIFFANY MYHRE (MD).
Is DR. CANDICE TIFFANY MYHRE (MD) currently active in the NPI registry?
CMS-published data lists DR. CANDICE TIFFANY MYHRE (MD) as an active registrant.
What kind of provider is DR. CANDICE TIFFANY MYHRE (MD)?
The page reflects Emergency Medicine Physician for DR. CANDICE TIFFANY MYHRE (MD). Clinical services aligned with this taxonomy classification.
Where is DR. CANDICE TIFFANY MYHRE (MD)'s primary listing?
We display Manhattan Beach, California because that is what the record indicates for DR. CANDICE TIFFANY MYHRE (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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