RUTH J. TIFFAULT (DO) – Family Medicine Physician, NPI 1205806288

RUTH J. TIFFAULT (DO) is a healthcare provider. based in Wabasha, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 41252 (MN). The NPI Number for RUTH J. TIFFAULT (DO) is 1205806288

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
RUTH J. TIFFAULT (DO)
NPI
1205806288
Phone
(651) 565-4571
Address
1202 5TH GRANT BLVD
Enumeration Date
24 January 2006
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6515654531
Graduation Year
1997 (29 years ago)
PAC ID
5092726661
Group Practice PAC ID
5092619387
Professional Enrollment ID
I20070823000395
Address ID
MN559811042WA1200XWXXX400

Contacts

Secure Messaging
rtiffault207926@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,075 FAMILY PRACTICE in MN

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Provider Addresses for RUTH J. TIFFAULT (DO)

  • Grant Boulevard West, Wabasha, Wabasha County, Minnesota, 55981, United States

    WABASHA, MN 559811042

    Phone: (651) 565-4571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-05-10

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
I20060510000324IFamily PracticeMNTBD

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
99284Emergency department visit with moderate level of medical decision making4443$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3926$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3619$0
99238Hospital discharge day management, 30 minutes or less2522$0
99283Emergency department visit with low level of medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 55981)

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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: 5092619387View full group profile
NameSpecialtyState
Emergency MedicineWI
Family PracticeMN
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyWI
Nurse PractitionerMN
Diagnostic RadiologyWI
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)NY
Psychiatry, Geriatric PsychiatryMN
Emergency MedicineMN
Diagnostic RadiologyWI
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the registry number for RUTH J. TIFFAULT (DO)?
The registry entry for RUTH J. TIFFAULT (DO) shows NPI 1205806288.
Is RUTH J. TIFFAULT (DO)'s NPI status active today?
Active status means RUTH J. TIFFAULT (DO)'s NPI record is not deactivated in the public file.
What type of care does RUTH J. TIFFAULT (DO) provide?
RUTH J. TIFFAULT (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to RUTH J. TIFFAULT (DO)?
The directory associates RUTH J. TIFFAULT (DO) with Wabasha, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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