TIFFANY MARIE MOGLIA (PA-C) – Surgical Physician Assistant, NPI 1265721245

TIFFANY MARIE MOGLIA (PA-C) is a healthcare provider. based in Lynn, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4108 (MA). The NPI Number for TIFFANY MARIE MOGLIA (PA-C) is 1265721245

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY MARIE MOGLIA (PA-C)
NPI
1265721245
Phone
(781) 462-8556
Address
46 FELLSMERE ST
Enumeration Date
30 March 2011
Last Update Date
15 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072002700
Graduation Year
2010 (16 years ago)
PAC ID
1557519816
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20210721003767
Address ID
FL327517102MA2600XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for TIFFANY MARIE MOGLIA (PA-C)

  • 46 FELLSMERE ST

    LYNN, MA 019042018

    Phone: (781) 462-8556

    Type: Mailing

  • 200 UNICORN PARK DR

    STE 201

    WOBURN, MA 018013324

    Phone: (781) 782-1300

    Fax: (781) 782-1350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Stryker Corporation ($65).

Total Amount

$166

General + Research + Ownership

Payments

7

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2021-07-21

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
I20210721003767IPhysician AssistantFLTBD

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 minutes4729$0
73030X-ray of shoulder, minimum of 2 views2413$0
View full utilization report →

Insurance plans in this area (ZIP 01904)

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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: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for TIFFANY MARIE MOGLIA (PA-C)?
TIFFANY MARIE MOGLIA (PA-C) — NPI 1265721245 — is the standard way to identify this listing.
Is TIFFANY MARIE MOGLIA (PA-C) listed as active for patients and plans?
The listing shows TIFFANY MARIE MOGLIA (PA-C) as active in the NPI system.
What taxonomy line describes TIFFANY MARIE MOGLIA (PA-C)?
For research purposes, treat TIFFANY MARIE MOGLIA (PA-C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does TIFFANY MARIE MOGLIA (PA-C) serve?
TIFFANY MARIE MOGLIA (PA-C)'s listing highlights Lynn, Massachusetts; more addresses can appear in NPPES.
Why does TIFFANY MARIE MOGLIA (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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