TIFFANY M LASKY (DO) – Surgical Critical Care Physician, NPI 1104861731
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
860 GENERAL SURGERY in TN
Provider Addresses for TIFFANY M LASKY (DO)
325 N State Of Franklin Rd
Johnson City, TN 376046062
Phone: (423) 439-7201
Fax: (423) 439-7219
Type: Location
1201 Washington St E Ste 208
Charleston, WV 253011841
Phone: (304) 388-7270
Type: Location
501 Morris St
Charleston, WV 253011326
Phone: (304) 388-9677
Type: Location
699, Cougar Drive, Mountain Home, Baxter County, Arkansas, 72653, United States
MOUNTAIN HOME, TN 376840699
Phone: (423) 439-7201
Fax: (423) 439-7219
Type: Mailing
325, North State of Franklin Road, The Y, Johnson City, Washington County, Tennessee, 37604, United States
JOHNSON CITY, TN 376046062
Phone: (423) 439-7201
Fax: (423) 439-7219
Type: Location
5130 GATEWAY BLVD E # CP
EL PASO, TX 799051608
Phone: (915) 215-4480
Fax: (915) 215-5386
Type: Mailing
4801 ALBERTA AVE
EL PASO, TX 799052707
Phone: (915) 215-5300
Fax: (915) 215-8606
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: 2023-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (927 days ago).
Enrollment records
3
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20061101000065 | I | Critical Care (Intensivists) | TN | 2023-11-30 |
| I20190917000010 | I | General Surgery | WV | TBD |
| I20231007000650 | I | General Surgery | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 37604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CRITICAL CARE (INTENSIVISTS) | TN | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 46 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| General Surgery | TN | |
| N E U R O L O G Y | TX | |
| Pediatric Medicine | TX | |
| - | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| - | LA | |
| - | KS | |
| Emergency Medicine | IL | |
| - | MS |
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