TIFFANI BOTTS (PA-C) – Medical Physician Assistant, NPI 1316327877
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIFFANI BOTTS (PA-C)
725 VIRGINIA ST
DUNEDIN, FL 346986615
Phone: (727) 734-4551
Type: Mailing
5200 SEMINOLE BLVD
ST PETERSBURG, FL 33708
Phone: (727) 392-3376
Fax: (727) 897-5263
Type: Location
5355 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL 337032800
Phone: (727) 344-9006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 111 Open Payments records for all available years, with a total value of $5,560.
Total Amount is formed as General ($5,560) + Research ($0) + Ownership ($0) = $5,560.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($1,531).
Total Amount
$5,560
General + Research + Ownership
Payments
111
Total payment records
General Amount
$5,560
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,531 |
| Dermavant Sciences, Inc. | $1,009 |
| Galderma Laboratories, L.P. | $514 |
| Merz North America, Inc. | $483 |
| Novartis Pharmaceuticals Corporation | $298 |
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: 2019-07-19
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 |
|---|---|---|---|---|
| I20190719000428 | I | Physician Assistant | 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 34698)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL |
Reviews
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