DR. TIFFANY NICOLE GRAHAM (O.D.) – Optometrist, NPI 1043704794

DR. TIFFANY NICOLE GRAHAM (O.D.) is a healthcare provider. based in North dartmouth, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5309 (MA). The NPI Number for DR. TIFFANY NICOLE GRAHAM (O.D.) is 1043704794

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY NICOLE GRAHAM (O.D.)
NPI
1043704794
Phone
(508) 717-0425
Address
382 State Rd
Enumeration Date
17 June 2018
Last Update Date
11 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017384800
Graduation Year
2016 (10 years ago)
PAC ID
3870845407
Group Practice PAC ID
1153213921
Professional Enrollment ID
I20231212002919
Address ID
RI028862716WA566XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for DR. TIFFANY NICOLE GRAHAM (O.D.)

  • 382 State Rd

    North Dartmouth, MA 027474302

    Phone: (508) 717-0425

    Type: Location

  • 73 Valley Rd

    Middletown, RI 028425234

    Phone: (401) 845-2020

    Fax: (508) 823-0425

    Type: Location

  • 100 WOODLAND DR APT 132

    COVENTRY, RI 028166738

    Phone: (401) 580-2084

    Type: Mailing

  • Bed Bath & Beyond, 380;382;386;388;390;392;394;396;398;400;402;404;406;408;410;418;424;438;442;444;452;454;456;458, State Road, Summit Grove, Dartmouth, Bristol County, Massachusetts, 02747, United States

    NORTH DARTMOUTH, MA 027474302

    Phone: (508) 717-0425

    Type: Location

  • 2401 SUMMIT DR

    BRIDGEWATER, MA 023242183

    Phone: (774) 506-2857

    Type: Mailing

  • 566 TOLL GATE RD

    WARWICK, RI 028862799

    Phone: (401) 738-4800

    Fax: (508) 823-0425

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $775.

Total Amount is formed as General ($775) + Research ($0) + Ownership ($0) = $775.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: CooperVision Inc. ($500).

Total Amount

$775

General + Research + Ownership

Payments

9

Total payment records

General Amount

$775

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

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: 2023-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181010001007IOptometryMATBD
I20231212002919IOptometryRITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9171$0
92004New patient complete exam of visual system3434$0
92014Established patient complete exam of visual system2424$0
92250Photography of the retina2121$0
View full utilization report →

Insurance plans in this area (ZIP 02747)

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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: 1153213921View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
-RI
O P H T H A L M O L O G YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI

Reviews

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Frequently asked questions

Can I cross-check DR. TIFFANY NICOLE GRAHAM (O.D.) using NPI 1043704794?
NPI 1043704794 belongs to DR. TIFFANY NICOLE GRAHAM (O.D.); compare other details if you need extra assurance.
Would DR. TIFFANY NICOLE GRAHAM (O.D.) appear as active to a payer?
You can treat DR. TIFFANY NICOLE GRAHAM (O.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. TIFFANY NICOLE GRAHAM (O.D.)?
DR. TIFFANY NICOLE GRAHAM (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. TIFFANY NICOLE GRAHAM (O.D.) located near North Dartmouth?
DR. TIFFANY NICOLE GRAHAM (O.D.) currently maps to North Dartmouth, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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