LORI M TILDEN-SMITH (PA) – Physician Assistant, NPI 1386636223

LORI M TILDEN-SMITH (PA) is a healthcare provider. based in Springfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 968 (CT). The NPI Number for LORI M TILDEN-SMITH (PA) is 1386636223

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LORI M TILDEN-SMITH (PA)
NPI
1386636223
Phone
(413) 734-4206
Address
300 Birnie Ave
Enumeration Date
17 August 2005
Last Update Date
30 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602765144
Graduation Year
2000 (26 years ago)
PAC ID
4082986864
Group Practice PAC ID
1153573902
Professional Enrollment ID
I20231113000630
Address ID
CT064893239SO55XXXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for LORI M TILDEN-SMITH (PA)

  • 300 Birnie Ave

    Suite 102

    Springfield, MA 011071107

    Phone: (413) 734-4206

    Fax: (413) 737-8882

    Type: Location

  • 100 HAZARD AVE STE 101

    ENFIELD, CT 060825447

    Phone: (860) 696-2380

    Type: Mailing

  • 300, Birnie Avenue, Brightwood, Springfield, Hampden County, Massachusetts, 01107, United States

    SUITE 102

    SPRINGFIELD, MA 011071107

    Phone: (413) 734-4206

    Fax: (413) 737-8882

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,064.

Total Amount is formed as General ($1,064) + Research ($0) + Ownership ($0) = $1,064.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($314).

Total Amount

$1,064

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,064

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2023-11-13

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
I20180605000238IPhysician AssistantMATBD
I20231113000630IPhysician AssistantCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes706266$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report308269$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit257257$0
99213Established patient office or other outpatient visit, 20-29 minutes149107$0
83036Hemoglobin a1c level14463$0
View full utilization report →

Insurance plans in this area (ZIP 01107)

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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: 1153573902View full group profile

Reviews

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Frequently asked questions

What is LORI M TILDEN-SMITH (PA)'s NPI number?
LORI M TILDEN-SMITH (PA)'s NPI is 1386636223 — the number used across U.S. healthcare to identify this provider.
Is there an active status for LORI M TILDEN-SMITH (PA)?
For scheduling context, LORI M TILDEN-SMITH (PA) is shown as active in the registry.
What clinical focus is listed for LORI M TILDEN-SMITH (PA)?
At a glance, LORI M TILDEN-SMITH (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is LORI M TILDEN-SMITH (PA) registered?
Use Springfield, Massachusetts as the headline location for LORI M TILDEN-SMITH (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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