TIFFANY T PANAIT (M.D.) – Colon & Rectal Surgery Physician, NPI 1023276789

TIFFANY T PANAIT (M.D.) is a healthcare provider. based in Brooklyn park, Minnesota. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials M.D.. They hold a License No. 55610 (MN). The NPI Number for TIFFANY T PANAIT (M.D.) is 1023276789

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY T PANAIT (M.D.)
NPI
1023276789
Phone
(763) 587-7900
Address
9201 W BROADWAY AVE STE 601
Enumeration Date
29 May 2008
Last Update Date
1 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635877900
Graduation Year
2004 (22 years ago)
PAC ID
1658529995
Group Practice PAC ID
2769384205
Professional Enrollment ID
I20120912000221
Address ID
MN554464003PL15655AVEX401

Contacts

Secure Messaging
tiffany.fancher@nor.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

81 COLORECTAL SURGERY (PROCTOLOGY) in MN

Provider Addresses for TIFFANY T PANAIT (M.D.)

  • 9201 W BROADWAY AVE STE 601

    BROOKLYN PARK, MN 554451924

    Phone: (763) 587-7900

    Fax: (763) 587-7066

    Type: Mailing

  • Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55311, United States

    MAPLE GROVE, MN 553694768

    Phone: (763) 587-7900

    Fax: (763) 494-7501

    Type: Mailing

  • 15655 37th Ave N Ste 100

    Plymouth, MN 554464003

    Phone: (763) 587-7900

    Fax: (763) 587-7701

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $2,218.

Total Amount is formed as General ($2,218) + Research ($0) + Ownership ($0) = $2,218.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Gyrus ACMI, Inc. ($2,200).

Total Amount

$2,218

General + Research + Ownership

Payments

3

Total payment records

General Amount

$2,218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

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: 2012-09-12

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
I20120912000221IColorectal Surgery (Proctology)MNTBD

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
46600Diagnostic exam of anus using an endoscope1918$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1919$0
View full utilization report →

Insurance plans in this area (ZIP 55445)

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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: 2769384205View full group profile
NameSpecialtyState
-MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
Internal Medicine, RheumatologyMN
Nurse PractitionerMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Colorectal Surgery (Proctology)MN
Internal Medicine, GastroenterologyMN
O B S T E T R I C S/ G Y N E C O L O G YMN

Reviews

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Frequently asked questions

Can I cross-check TIFFANY T PANAIT (M.D.) using NPI 1023276789?
NPI 1023276789 belongs to TIFFANY T PANAIT (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to TIFFANY T PANAIT (M.D.)?
You should see TIFFANY T PANAIT (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with TIFFANY T PANAIT (M.D.)?
TIFFANY T PANAIT (M.D.)'s record emphasizes Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with TIFFANY T PANAIT (M.D.)?
Directory geography for TIFFANY T PANAIT (M.D.) centers on Brooklyn Park, Minnesota.
When was this NPI issued?
Enumeration for TIFFANY T PANAIT (M.D.) is noted as May 29, 2008 where the registry provides it.

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