TIFFANEY JO HAMMER (PA-C) – Surgical Physician Assistant, NPI 1649424078
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for TIFFANEY JO HAMMER (PA-C)
11850 BLACKFOOT NW
SUITE 100
COON RAPIDS, MN 554332569
Phone: (763) 721-2100
Fax: (763) 721-2190
Type: Location
University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States
SAINT PAUL, MN 551142001
Phone: (651) 602-5309
Fax: (651) 222-6786
Type: Mailing
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: 2024-04-02
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 |
|---|---|---|---|---|
| I20090105000216 | I | Physician Assistant | MN | TBD |
| I20240402000736 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 18 | $0 |
| 58571 | Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less | 20 | 20 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 18 | 11 | $0 |
| 38570 | Biopsy and removal of lymph nodes of abdominal cavity using an endoscope | 15 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 55433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Obstetrics/Gynecology, Gynecological Oncology | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Physician Assistant | TX | |
| Nurse Practitioner | MN | |
| - | MN | |
| Medical Oncology | MN | |
| Colorectal Surgery (Proctology), General Surgery | MN | |
| Physician Assistant | MN |
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