TIFFANY LU – Family Medicine Physician, NPI 1811379266
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for TIFFANY LU
107 S MAIN ST
JELLICO, TN 377622154
Phone: (423) 784-8492
Fax: (423) 455-0380
Type: Mailing
402 CUMBERLAND AVE
WILLIAMSBURG, KY 40769
Phone: (606) 549-2656
Fax: (606) 549-2855
Type: Location
550 Sunset Trl
Jellico, TN 377622343
Phone: (925) 370-5000
Type: Location
5663 Highway 90
Clairfield, TN 377153632
Phone: (423) 784-6135
Fax: (423) 455-0380
Type: Location
402 Cumberland Ave
Williamsburg, KY 40769
Phone: (606) 549-2656
Fax: (606) 549-2855
Type: Location
818 WEBSTER ST STE 100
OAKLAND, CA 946074220
Phone: (510) 735-3100
Fax: (510) 628-0058
Type: Mailing
818 WEBSTER ST
OAKLAND, CA 946074220
Phone: (510) 986-6800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($101).
Total Amount
$101
General + Research + Ownership
Payments
1
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $101 |
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: 2026-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230825001396 | I | Family Practice | CA | TBD |
| I20260209000704 | I | Family Practice | IL | 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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 12 | 12 | $0 |
Insurance plans in this area (ZIP 37762)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| Family Practice | IL | |
| - | IL | |
| Hospitalist, Family Practice | IL | |
| - | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Family Practice | MI |
Reviews
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