DR. TAMARA HANDERSON (MD) – Anatomic Pathology Physician, NPI 1184614331

DR. TAMARA HANDERSON (MD) is a healthcare provider. based in Old lyme, Connecticut. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 216104 (MA). The NPI Number for DR. TAMARA HANDERSON (MD) is 1184614331

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMARA HANDERSON (MD)
NPI
1184614331
Phone
(860) 434-6698
Address
14 RIVERBEND RD
Enumeration Date
27 October 2005
Last Update Date
7 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033770639
Graduation Year
1980 (46 years ago)
PAC ID
0547236176
Group Practice PAC ID
5395806095
Professional Enrollment ID
I20050311000412
Address ID
CT066115379TR160XXLNXX301
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

323 PATHOLOGY in CT

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Provider Addresses for DR. TAMARA HANDERSON (MD)

  • 14, Riverbend Road, Old Lyme, Lower Connecticut River Valley Planning Region, Connecticut, 06371, United States

    OLD LYME, CT 06371

    Phone: (860) 434-6698

    Fax: (860) 434-6698

    Type: Mailing

  • Greenwich Hospital, 5, Perryridge Road, Greenwich, Fairfield County, Connecticut, 06830, United States

    DEPARTMENT OF PATHOLOGY

    GREENWICH, CT 068304697

    Phone: (203) 863-3927

    Type: Location

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 $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-07-18 • Largest payer in this snapshot: Lilly USA, LLC ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$26
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: 2005-03-11

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
I20050311000412IPathologyCTTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,7321,023$0
88342Special stained specimen slides to examine tissue, initial procedure151134$0
88341Special stained specimen slides to examine tissue, each additional procedure5431$0
View full utilization report →

Insurance plans in this area (ZIP 06371)

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Provider's Procedures

DR. TAMARA HANDERSON (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCT88342Tissue or cell analysis by immunologic technique290266

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: 5395806095View full group profile
NameSpecialtyState
-CT
Physician AssistantCT
D E R M A T O L O G YCA
Physician AssistantNY
D E R M A T O L O G YCT
D E R M A T O L O G YCT
Physician AssistantCT
Physician AssistantIL
D E R M A T O L O G YCT
Dermatology, Internal MedicineCT

Reviews

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Frequently asked questions

Can I verify DR. TAMARA HANDERSON (MD) with an NPI only?
You can start verification with NPI 1184614331 for DR. TAMARA HANDERSON (MD), then check state licensing separately.
Is DR. TAMARA HANDERSON (MD) still practicing?
DR. TAMARA HANDERSON (MD) is currently listed as active in the public NPI registry.
What is DR. TAMARA HANDERSON (MD)'s specialty?
The listing groups DR. TAMARA HANDERSON (MD) with Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TAMARA HANDERSON (MD)?
DR. TAMARA HANDERSON (MD)'s geographic hint is Old Lyme, Connecticut in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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