TARA MENDOZZA DECRESCENTIS (PA-C.) – Medical Physician Assistant, NPI 1407973266
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for TARA MENDOZZA DECRESCENTIS (PA-C.)
499 E Hampden Ave Ste 360
Englewood, CO 801133877
Phone: (720) 386-4508
Type: Location
PO BOX 172263
DENVER, CO 802172263
Phone: (303) 306-7783
Fax: (303) 306-7753
Type: Mailing
10099 RIDGEGATE PKWY STE 480
LONE TREE, CO 801245537
Phone: (720) 441-4021
Fax: (720) 360-1195
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,041.
Total Amount is formed as General ($1,041) + Research ($0) + Ownership ($0) = $1,041.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: PAINTEQ LLC ($562).
Total Amount
$1,041
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,041
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PAINTEQ LLC | $562 |
| Nevro Corp. | $197 |
| Vertos Medical, Inc. | $170 |
| SPR Therapeutics, Inc | $51 |
| Abbott Laboratories | $39 |
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: 2007-05-17
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 |
|---|---|---|---|---|
| I20070517000122 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 251 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 71 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 49 | 46 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 38 | 23 | $0 |
| 72170 | X-ray of pelvis, 1-2 views | 26 | 26 | $0 |
Insurance plans in this area (ZIP 80113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Pain Management, Physical Medicine And Rehabilitation | CO | |
| Physical Therapist In Private Practice | CO | |
| Physician Assistant | FL | |
| Pain Management, Anesthesiology | MS | |
| Physician Assistant | CO | |
| Physician Assistant | RI | |
| Physical Therapist In Private Practice | CO |
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