TIFFANY NOEL CARILLET (PA) – Physician Assistant, NPI 1922172485
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for TIFFANY NOEL CARILLET (PA)
2107, Dairy Road, West Melbourne, Melbourne, Brevard County, Florida, 32904, United States
MELBOURNE, FL 329045241
Phone: (321) 956-8224
Fax: (321) 956-8225
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 24 Open Payments records for all available years, with a total value of $798.
Total Amount is formed as General ($798) + Research ($0) + Ownership ($0) = $798.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($432).
Total Amount
$798
General + Research + Ownership
Payments
24
Total payment records
General Amount
$798
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $432 |
| Medtronic, Inc. | $74 |
| ABBVIE INC. | $71 |
| Exact Sciences Corporation | $48 |
| PFIZER INC. | $34 |
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: 2004-09-10
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 |
|---|---|---|---|---|
| I20040910000021 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 385 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 271 | 209 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 144 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 141 | 141 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 94 | 43 | $0 |
Insurance plans in this area (ZIP 32904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | LA | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL |
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