DR. TIFFANY MELISSA BOHON (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1366679037

DR. TIFFANY MELISSA BOHON (M.D.) is a healthcare provider. based in Columbia, Missouri. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2012011119 (MO). The NPI Number for DR. TIFFANY MELISSA BOHON (M.D.) is 1366679037

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY MELISSA BOHON (M.D.)
NPI
1366679037
Phone
(573) 884-7733
Address
551 VETERANS UNITED DR
Enumeration Date
19 June 2009
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5738821662
Graduation Year
2009 (17 years ago)
PAC ID
6800039173
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20130905000767
Address ID
MO652033057CO551XXDRXX401

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

144 SPORTS MEDICINE in MO

Provider Addresses for DR. TIFFANY MELISSA BOHON (M.D.)

  • 551 VETERANS UNITED DR

    COLUMBIA, MO 652018397

    Phone: (573) 884-7733

    Fax: (573) 882-6228

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 551, Southampton Drive, Columbia, Boone County, Missouri, 65203, United States

    COLUMBIA, MO 65201

    Phone: (573) 884-7733

    Fax: (573) 882-6228

    Type: Location

  • 551 E SOUTHAMPTON DR

    COLUMBIA, MO 652014236

    Phone: (573) 884-7733

    Fax: (573) 882-6228

    Type: Location

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: 2013-09-05

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
I20130905000767ISports MedicineMOTBD

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 minutes5446$0
20610Aspiration and/or injection of fluid from large joint3215$0
99213Established patient office or other outpatient visit, 20-29 minutes1913$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

How do payers reference DR. TIFFANY MELISSA BOHON (M.D.)?
For DR. TIFFANY MELISSA BOHON (M.D.), use NPI 1366679037 as the unique 10-digit identifier.
Active or inactive — what applies to DR. TIFFANY MELISSA BOHON (M.D.)?
You should see DR. TIFFANY MELISSA BOHON (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. TIFFANY MELISSA BOHON (M.D.)?
DR. TIFFANY MELISSA BOHON (M.D.) is associated with Sports Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TIFFANY MELISSA BOHON (M.D.)?
Travel planning: use Columbia, Missouri as the reference point for DR. TIFFANY MELISSA BOHON (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. TIFFANY MELISSA BOHON (M.D.) is noted as June 19, 2009 where the registry provides it.

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