DR. TIFFANY WYATT (DO) – Internal Medicine Physician, NPI 1326622820

DR. TIFFANY WYATT (DO) is a healthcare provider. based in Grand junction, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DR.0075638 (CO). The NPI Number for DR. TIFFANY WYATT (DO) is 1326622820

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY WYATT (DO)
NPI
1326622820
Phone
(970) 243-3300
Address
607 28 1/4 RD
Enumeration Date
11 May 2021
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7206079207
Graduation Year
2021 (5 years ago)
PAC ID
8224439369
Group Practice PAC ID
2961936927
Professional Enrollment ID
I20250808002284
Address ID
CO802383131DE8354XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,996 INTERNAL MEDICINE in CO

Provider Addresses for DR. TIFFANY WYATT (DO)

  • 607 28 1/4 RD

    GRAND JUNCTION, CO 815066018

    Phone: (970) 243-3300

    Type: Mailing

  • 27351 DEQUINDRE RD

    MADISON HEIGHTS, MI 480713487

    Phone: (248) 967-7000

    Type: Mailing

  • 27483 DEQUINDRE RD STE 301

    MADISON HEIGHTS, MI 480715715

    Phone: (586) 576-4198

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $975.

Total Amount is formed as General ($975) + Research ($0) + Ownership ($0) = $975.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($230).

Total Amount

$975

General + Research + Ownership

Payments

17

Total payment records

General Amount

$975

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

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: 2025-08-08

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
I20250808002284IInternal MedicineCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81506)

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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: 2961936927View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Internal MedicineMI
Nurse PractitionerCO
Nurse PractitionerTX
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What number should I use to identify DR. TIFFANY WYATT (DO) for billing?
Administrative and clinical systems typically use NPI 1326622820 for DR. TIFFANY WYATT (DO).
Should I treat DR. TIFFANY WYATT (DO) as an active provider?
Patients and plans typically see DR. TIFFANY WYATT (DO) as active in the national extract.
What type of care does DR. TIFFANY WYATT (DO) provide?
DR. TIFFANY WYATT (DO)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. TIFFANY WYATT (DO)?
DR. TIFFANY WYATT (DO) is associated with Grand Junction, Colorado in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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