DR. ALANNA TISDALE (M.D., M.P.H.) – Ophthalmology Physician, NPI 1235589144

DR. ALANNA TISDALE (M.D., M.P.H.) is a healthcare provider. based in Boston, Massachusetts. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D., M.P.H.. They hold a License No. 289633 (MA). The NPI Number for DR. ALANNA TISDALE (M.D., M.P.H.) is 1235589144

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALANNA TISDALE (M.D., M.P.H.)
NPI
1235589144
Phone
(617) 638-4552
Address
85 E CONCORD ST FL 8
Enumeration Date
21 June 2016
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
0840588794
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20210925000070
Address ID
MA018050001Bu41XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

801 OPHTHALMOLOGY in MA

Provider Addresses for DR. ALANNA TISDALE (M.D., M.P.H.)

  • 85 E CONCORD ST FL 8

    BOSTON, MA 021182335

    Phone: (617) 638-4552

    Type: Mailing

  • 41 Mall Rd

    Burlington, MA 018052335

    Phone: (781) 744-8000

    Type: Location

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    IOWA CITY, IA 522421009

    Phone: (319) 356-0382

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-03-02 • Largest payer in this snapshot: Amgen Inc. ($103).

Total Amount

$103

General + Research + Ownership

Payments

1

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$103
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: 2021-09-25

PECOS data refreshed: 2026-06-15

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
I20210925000070IOphthalmologyMATBD

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
92014Established patient complete exam of visual system10196$0
92083Exam of visual field with extended testing8073$0
92012Established patient problem focused exam of visual system7062$0
92133Imaging of optic nerve6764$0
92060Exam to measure eye deviation and range of motion5850$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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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: 2264336528View full group profile
NameSpecialtyState
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA

Reviews

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Frequently asked questions

What identifier follows DR. ALANNA TISDALE (M.D., M.P.H.) across health systems?
The NPI 1235589144 uniquely identifies DR. ALANNA TISDALE (M.D., M.P.H.) in U.S. healthcare data.
Is DR. ALANNA TISDALE (M.D., M.P.H.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ALANNA TISDALE (M.D., M.P.H.) as active.
How should patients interpret DR. ALANNA TISDALE (M.D., M.P.H.)'s specialty?
The extract shows Ophthalmology Physician for DR. ALANNA TISDALE (M.D., M.P.H.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ALANNA TISDALE (M.D., M.P.H.)?
DR. ALANNA TISDALE (M.D., M.P.H.) shows a connection to Boston, Massachusetts in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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