TAMMY MAY TANDBERG-WILLCOX (D.O) – Family Medicine Physician, NPI 1174985170

TAMMY MAY TANDBERG-WILLCOX (D.O) is a healthcare provider. based in Talihina, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O. They hold a License No. 6507 (OK). The NPI Number for TAMMY MAY TANDBERG-WILLCOX (D.O) is 1174985170

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY MAY TANDBERG-WILLCOX (D.O)
NPI
1174985170
Phone
(803) 422-8275
Address
1 CHOCTAW WAY
Enumeration Date
28 March 2016
Last Update Date
11 August 2021

Doctor Profile

Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Secondary Phone
9185677000
Graduation Year
2016 (10 years ago)
PAC ID
8820382724
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20200806000058
Address ID
OK747431820HU410XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for TAMMY MAY TANDBERG-WILLCOX (D.O)

  • 1 CHOCTAW WAY

    TALIHINA, OK 745712022

    Phone: (803) 422-8275

    Type: Mailing

  • 410 N M ST

    HUGO, OK 747431820

    Phone: (580) 326-7561

    Fax: (508) 326-7564

    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: 2020-08-06

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
I20200806000058IFamily PracticeTXTBD

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 minutes275156$0
99213Established patient office or other outpatient visit, 20-29 minutes7065$0
99215Established patient office or other outpatient visit, 40-54 minutes4134$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a3013$0
View full utilization report →

Insurance plans in this area (ZIP 74571)

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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: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
-OK
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyOK

Reviews

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Frequently asked questions

What NPI should I save for TAMMY MAY TANDBERG-WILLCOX (D.O)?
Save NPI 1174985170 if you need a stable reference for TAMMY MAY TANDBERG-WILLCOX (D.O).
Is TAMMY MAY TANDBERG-WILLCOX (D.O) active in the national directory?
TAMMY MAY TANDBERG-WILLCOX (D.O)'s public NPI profile is in an active state.
Can you summarize TAMMY MAY TANDBERG-WILLCOX (D.O)'s specialty in plain language?
Clinically, the directory lists TAMMY MAY TANDBERG-WILLCOX (D.O) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does TAMMY MAY TANDBERG-WILLCOX (D.O) practice in Oklahoma?
You will see Talihina, Oklahoma on file for TAMMY MAY TANDBERG-WILLCOX (D.O) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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