MISS TAMI R MENARD (PA-C) – Medical Physician Assistant, NPI 1023019403
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
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Provider Addresses for MISS TAMI R MENARD (PA-C)
15 LA SALLE SQ
PROVIDENCE, RI 029031814
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
Keystone Audiology, 400, Bald Hill Road, East Natick, Warwick, Kent County, Rhode Island, 02886, United States
WARWICK, RI 028861617
Phone: (401) 444-7959
Fax: (401) 738-3857
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($55).
Total Amount
$78
General + Research + Ownership
Payments
3
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $55 |
| Arcutis Biotherapeutics, Inc. | $23 |
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: 2007-07-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070706000265 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 333 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 258 | 205 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 160 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 114 | 95 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 104 | 90 | $0 |
Insurance plans in this area (ZIP 02903)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | RI | 17003 | Destruction of 2-14 skin growths | 349 | 69 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pathology, Dermatology | RI | |
| Physician Assistant | RI | |
| - | RI | |
| D E R M A T O L O G Y | RI | |
| D E R M A T O L O G Y | RI | |
| Nurse Practitioner | RI | |
| D E R M A T O L O G Y | RI | |
| Nurse Practitioner | NH | |
| Physician Assistant | RI | |
| D E R M A T O L O G Y | RI |
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