DWIGHT DAVID TOLLIVER – Psychologist, NPI 1609909753
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
400 CLINICAL PSYCHOLOGIST in TN
Provider Addresses for DWIGHT DAVID TOLLIVER
DEPARTMENT 888182
KNOXVILLE, TN 379958182
Phone: (800) 355-3565
Fax: (423) 714-2355
Type: Mailing
7714 CONNER ROAD
STE 105
POWELL, TN 37849
Phone: (865) 947-6220
Fax: (865) 512-1069
Type: Location
620 E BROAD ST STE 301
COLUMBUS, OH 432154037
Phone: (614) 914-6690
Fax: (147) 453-3446
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: 2010-11-30
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20101130000189 | I | Clinical Psychologist | OH | 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 |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 80 | 13 | $0 |
Insurance plans in this area (ZIP 37995)
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