TAMARA COLLARD (P.A.) – Physician Assistant, NPI 1508960915

TAMARA COLLARD (P.A.) is a healthcare provider. based in Du quoin, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 085-001366 (IL). The NPI Number for TAMARA COLLARD (P.A.) is 1508960915

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA COLLARD (P.A.)
NPI
1508960915
Phone
(618) 542-8702
Address
1564 S WASHINGTON ST
Enumeration Date
8 September 2006
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184393399
Graduation Year
1999 (27 years ago)
PAC ID
8123002052
Group Practice PAC ID
9537076401
Professional Enrollment ID
I20040617000027
Address ID
IL628121565BE1104XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for TAMARA COLLARD (P.A.)

  • 1564, South Washington Street, Du Quoin, Perry County, Illinois, 62832, United States

    DU QUOIN, IL 628323849

    Phone: (618) 542-8702

    Fax: (618) 542-8792

    Type: Location

  • PO BOX 155

    CHRISTOPHER, IL 628220155

    Phone: (618) 724-2401

    Fax: (618) 724-4628

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $579.

Total Amount is formed as General ($579) + Research ($0) + Ownership ($0) = $579.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($182).

Total Amount

$579

General + Research + Ownership

Payments

30

Total payment records

General Amount

$579

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-06-17

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
I20040617000027IPhysician AssistantILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62832)

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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: 9537076401View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryTN
Orthopedic SurgeryVA
Physical Medicine And RehabilitationTN
Orthopedic SurgeryNC
Orthopedic SurgeryMO
N E U R O S U R G E R YCO
Physician AssistantTN
Internal MedicineIL
Orthopedic SurgeryVA
Physician AssistantIL

Reviews

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Frequently asked questions

Can I use this page to confirm TAMARA COLLARD (P.A.)'s NPI?
Yes. TAMARA COLLARD (P.A.) is listed with NPI 1508960915 in the public NPI dataset.
Is TAMARA COLLARD (P.A.) still practicing?
TAMARA COLLARD (P.A.) is currently listed as active in the public NPI registry.
What taxonomy line describes TAMARA COLLARD (P.A.)?
For research purposes, treat TAMARA COLLARD (P.A.) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does TAMARA COLLARD (P.A.) list a practice location?
Patients near Du Quoin, Illinois may find TAMARA COLLARD (P.A.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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