DEBORAH JANE KUIPER-TOMAS (PA-C) – Family Medicine Physician, NPI 1174762454

DEBORAH JANE KUIPER-TOMAS (PA-C) is a healthcare provider. based in Davie, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9102145 (FL). The NPI Number for DEBORAH JANE KUIPER-TOMAS (PA-C) is 1174762454

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH JANE KUIPER-TOMAS (PA-C)
NPI
1174762454
Phone
(954) 434-1705
Address
4780 SW 64TH AVE STE 103
Enumeration Date
11 February 2009
Last Update Date
14 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544341705
Graduation Year
2004 (22 years ago)
PAC ID
2668758228
Group Practice PAC ID
6507294311
Professional Enrollment ID
I20201130000364
Address ID
FL333144400DA4780XAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

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Provider Addresses for DEBORAH JANE KUIPER-TOMAS (PA-C)

  • Davie Road, Downtown Davie, Playland Village, Davie, Broward County, Florida, 33314, United States

    DAVIE, FL 333144400

    Phone: (954) 434-1705

    Fax: (954) 434-1882

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Exact Sciences Corporation ($34).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-11-30

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
I20201130000364IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13949$0
99214Established patient office or other outpatient visit, 30-39 minutes12250$0
36415Insertion of needle into vein for collection of blood sample11941$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
81002Urinalysis, manual test1912$0
View full utilization report →

Insurance plans in this area (ZIP 33314)

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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: 6507294311View full group profile

Reviews

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Frequently asked questions

Where can patients find DEBORAH JANE KUIPER-TOMAS (PA-C)'s NPI?
You can confirm DEBORAH JANE KUIPER-TOMAS (PA-C) with NPI 1174762454; it appears in the national provider directory.
Does this profile mean DEBORAH JANE KUIPER-TOMAS (PA-C) is currently active?
Yes — DEBORAH JANE KUIPER-TOMAS (PA-C) appears active in the national provider directory.
Can you summarize DEBORAH JANE KUIPER-TOMAS (PA-C)'s specialty in plain language?
Clinically, the directory lists DEBORAH JANE KUIPER-TOMAS (PA-C) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEBORAH JANE KUIPER-TOMAS (PA-C)?
The page summarizes Davie, Florida for DEBORAH JANE KUIPER-TOMAS (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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