TAMMY NICOLE THAGGERT (MD) – Adult Medicine Physician, NPI 1174534770
Adult Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for TAMMY NICOLE THAGGERT (MD)
4613 S Orange Blossom Trl
Orlando, FL 328391705
Phone: (407) 232-9833
Fax: (407) 232-9829
Type: Location
555 W SR 434
LONGWOOD, FL 327505119
Phone: (407) 262-2220
Fax: (407) 834-5011
Type: Mailing
4613 S ORANGE BLOSSOM TRL
ORLANDO, FL 328391705
Phone: (407) 232-9833
Fax: (407) 232-9829
Type: Mailing
5th Street North, Downtown, Saint Petersburg, Pinellas County, Florida, 33701, United States
ST PETERSBURG, FL 337022211
Phone: (727) 824-0780
Fax: (727) 568-6011
Type: Mailing
2902, 17th Street, Saint Cloud, Osceola County, Florida, 34769, United States
SAINT CLOUD, FL 347696009
Phone: (407) 957-0090
Fax: (407) 957-1113
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 $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Insulet Corporation ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Insulet Corporation | $21 |
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: 2007-01-09
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 |
|---|---|---|---|---|
| I20070109000115 | I | Family Practice | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32839)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Vascular Surgery, General Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Sports Medicine | OH | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Internal Medicine | IA |
Reviews
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