LORI M TILDEN-SMITH (PA) – Physician Assistant, NPI 1386636223
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $314 |
| PFIZER INC. | $206 |
| Novo Nordisk Inc | $133 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $102 |
| E.R. Squibb & Sons, L.L.C. | $57 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180605000238 | I | Physician Assistant | MA | TBD |
| I20231113000630 | I | Physician Assistant | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 706 | 266 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 308 | 269 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 257 | 257 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 107 | $0 |
| 83036 | Hemoglobin a1c level | 144 | 63 | $0 |
Insurance plans in this area (ZIP 01107)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| - | CT | |
| - | MA | |
| - | CT | |
| Internal Medicine | IL | |
| - | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| Internal Medicine | CT |
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