DR. TINA WAUGH (MD) – Family Medicine Physician, NPI 1174510382

DR. TINA WAUGH (MD) is a healthcare provider. based in Beverly, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 158505 (MA). The NPI Number for DR. TINA WAUGH (MD) is 1174510382

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. TINA WAUGH (MD)
NPI
1174510382
Phone
(978) 927-7727
Address
38R ENON ST
Enumeration Date
3 October 2005
Last Update Date
11 May 2009

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9784687381
Graduation Year
1997 (29 years ago)
PAC ID
6709777428
Group Practice PAC ID
7719291434
Professional Enrollment ID
I20050608000275
Address ID
MA019822218SO15XXXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for DR. TINA WAUGH (MD)

  • 38R, Enon Street, North Beverly, Beverly, Essex County, Massachusetts, 01984, United States

    BEVERLY, MA 019151166

    Phone: (978) 927-7727

    Fax: (978) 927-4598

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-06-08

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
I20050608000275IFamily PracticeMATBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes10863$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes8454$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes3737$0
99214Established patient office or other outpatient visit, 30-39 minutes2725$0
99497Advance care planning, first 30 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 01915)

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Provider's Procedures

DR. TINA WAUGH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA90670Pneumococcal vaccine for injection into muscle5252

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: 7719291434View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Internal MedicineNH
Nurse PractitionerMA
Family PracticeMA
Family PracticeMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. TINA WAUGH (MD)?
DR. TINA WAUGH (MD) — NPI 1174510382 — is the standard way to identify this listing.
Is DR. TINA WAUGH (MD) listed as active for patients and plans?
The listing shows DR. TINA WAUGH (MD) as active in the NPI system.
What healthcare role does DR. TINA WAUGH (MD) hold?
Scheduling teams often label DR. TINA WAUGH (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TINA WAUGH (MD)?
DR. TINA WAUGH (MD)'s geographic hint is Beverly, Massachusetts in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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