TIFFANY PAULINE WHIPPLE (DO) – Colon & Rectal Surgery Physician, NPI 1306343322

TIFFANY PAULINE WHIPPLE (DO) is a healthcare provider. based in Mooresville, Indiana. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials DO. They hold a License No. 6797 (OK). The NPI Number for TIFFANY PAULINE WHIPPLE (DO) is 1306343322

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY PAULINE WHIPPLE (DO)
NPI
1306343322
Phone
(317) 834-9618
Address
1215 HADLEY RD STE 201
Enumeration Date
6 April 2018
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9185053400
Graduation Year
2018 (8 years ago)
PAC ID
1052760154
Group Practice PAC ID
5193715746
Professional Enrollment ID
I20240912004397
Address ID
OK741374205TU2448XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

21 COLORECTAL SURGERY (PROCTOLOGY) in OK

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Provider Addresses for TIFFANY PAULINE WHIPPLE (DO)

  • 1215 HADLEY RD STE 201

    MOORESVILLE, IN 461582907

    Phone: (317) 834-9618

    Type: Mailing

  • East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States

    TULSA, OK 741045403

    Phone: (918) 634-7539

    Type: Mailing

  • Ascension Saint John Medical Center, 1923, South Utica Avenue, Swan Lake, Tulsa, Tulsa County, Oklahoma, 74104, United States

    TULSA, OK 741046520

    Phone: (918) 744-2350

    Type: Location

  • 2448 E 81ST ST STE 1100

    TULSA, OK 741374205

    Phone: (918) 505-3400

    Fax: (918) 508-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $1,137.

Total Amount is formed as General ($1,137) + Research ($0) + Ownership ($0) = $1,137.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,099).

Total Amount

$1,137

General + Research + Ownership

Payments

5

Total payment records

General Amount

$1,137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2024-09-12

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
I20240912004397IColorectal Surgery (Proctology)OKTBD

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 46158)

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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: 5193715746View full group profile

Reviews

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Frequently asked questions

Does TIFFANY PAULINE WHIPPLE (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TIFFANY PAULINE WHIPPLE (DO) uses 1306343322.
Is TIFFANY PAULINE WHIPPLE (DO) still practicing?
TIFFANY PAULINE WHIPPLE (DO) is currently listed as active in the public NPI registry.
What is TIFFANY PAULINE WHIPPLE (DO)'s primary classification?
Colon & Rectal Surgery Physician is the headline specialty for TIFFANY PAULINE WHIPPLE (DO) here. Clinical services aligned with this taxonomy classification.
What address line appears for TIFFANY PAULINE WHIPPLE (DO)?
TIFFANY PAULINE WHIPPLE (DO)'s geographic hint is Mooresville, Indiana in our summary view.
Is the information about TIFFANY PAULINE WHIPPLE (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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