GERARD TIFFAULT (MD) – Emergency Medicine Physician, NPI 1053361675
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,051 EMERGENCY MEDICINE in TX
Provider Addresses for GERARD TIFFAULT (MD)
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 782344501
Phone: (210) 916-2460
Type: Location
Jill Lane, Beaumont, Jefferson County, Texas, 77713, United States
BEAUMONT, TX 777139208
Phone:
Type: Mailing
7780 VILLAGE DR
BEAUMONT, TX 777138487
Phone:
Type: Mailing
1585 3RD ST
FORT POLK, LA 714595102
Phone: (240) 351-9565
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: 2004-11-06
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 |
|---|---|---|---|---|
| I20041106000180 | I | Emergency Medicine | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78234)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 91 | 91 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| Emergency Medicine | TX | |
| Emergency Medicine, Family Practice | LA | |
| Emergency Medicine | TX | |
| Emergency Medicine, Family Practice | NJ | |
| Emergency Medicine | TX | |
| Emergency Medicine | LA | |
| Emergency Medicine | NM | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX |
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