MS. TARA MARIE DISALLE (PA-C) – Physician Assistant, NPI 1396269312
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for MS. TARA MARIE DISALLE (PA-C)
6444, Anita Drive, Parma Heights, Cuyahoga County, Ohio, 44130, United States
PARMA HEIGHTS, OH 441302822
Phone: (440) 465-2400
Type: Mailing
1691 W HORIZON RIDGE PKWY
SUITE 100
HENDERSON, NV 890123520
Phone: (702) 804-1212
Fax: (702) 804-1222
Type: Mailing
Cleveland Clinic Akron General, 1, Akron General Avenue, Hospital District, Sherbondy Hill, Akron, Summit County, Ohio, 44307, United States
AKRON, OH 443072432
Phone: (330) 344-1017
Fax: (330) 344-1845
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: 2024-01-17
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 |
|---|---|---|---|---|
| I20240117001947 | I | Physician Assistant | FL | 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 | 44 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 18 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 44130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Emergency Medicine | MI | |
| - | OH | |
| - | FL | |
| Family Practice | SC | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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