DAVID E TANN (PA) – Surgical Physician Assistant, NPI 1609275619
Surgical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID E TANN (PA)
12188A N MERIDIAN ST STE 375
CARMEL, IN 460324433
Phone:
Type: Mailing
3600 W BETHEL AVE
MUNCIE, IN 473045407
Phone: (765) 284-7738
Fax: (765) 284-4266
Type: Mailing
2610 ENTERPRISE DR
ANDERSON, IN 460139684
Phone: (765) 683-4400
Fax: (765) 642-7903
Type: Location
1550 E County Line Road
Suite 200
Indianapolis, IN 462270990
Phone: (317) 497-6497
Fax: (317) 497-6400
Type: Location
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 $157.
Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($137).
Total Amount
$157
General + Research + Ownership
Payments
2
Total payment records
General Amount
$157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $137 |
| Inspire Medical Systems, Inc. | $20 |
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: 2015-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150312001072 | I | Physician Assistant | IN | 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 46032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN |
Reviews
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