KENNETH TIFFANY (DO) – Emergency Medicine Physician, NPI 1548993199
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,354 EMERGENCY MEDICINE in MO
Provider Addresses for KENNETH TIFFANY (DO)
1 HOSPITAL DR
COLUMBIA, MO 652121000
Phone: (573) 884-2000
Type: Mailing
1400 BRADEN ST
JACKSONVILLE, AR 720763721
Phone: (501) 453-5000
Type: Location
2900 HAWKINS DR
SEARCY, AR 721434802
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-08-19 • Largest payer in this snapshot: ConvaTec Inc. ($38).
Total Amount
$71
General + Research + Ownership
Payments
2
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $38 |
| Radius Health, Inc. | $33 |
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: 2025-12-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251223002079 | I | Emergency Medicine | AR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| - | AR | |
| Emergency Medicine, Emergency Medicine, Family Practice | AR | |
| Emergency Medicine | NY | |
| Family Practice, Emergency Medicine | CT | |
| Family Practice | AR | |
| Family Practice | OK | |
| Family Practice, Emergency Medicine | AR | |
| - | IN | |
| - | AR |
Reviews
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