TIFFANY MARIE REDMOND (PA-C, LPC) – Physician Assistant, NPI 1457486805
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for TIFFANY MARIE REDMOND (PA-C, LPC)
1515 N 400 E STE 104
NORTH LOGAN, UT 843417595
Phone: (435) 755-6061
Type: Mailing
3935 N 75 W
HYDE PARK, UT 843184111
Phone: (435) 994-2665
Type: Location
11836 Arbor St
Omaha, NE 681442937
Phone: (402) 898-8881
Fax: (402) 827-3212
Type: Location
280 S MAIN ST
BOUNTIFUL, UT 840106236
Phone: (801) 505-0821
Fax: (801) 505-0803
Type: Mailing
245 N 700 W
HYDE PARK, UT 843184076
Phone: (435) 213-3797
Type: Location
2561 S 1560 W STE B
WOODS CROSS, UT 840872361
Phone: (801) 505-0821
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $290.
Total Amount is formed as General ($290) + Research ($0) + Ownership ($0) = $290.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($141).
Total Amount
$290
General + Research + Ownership
Payments
14
Total payment records
General Amount
$290
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $141 |
| Alkermes, Inc. | $55 |
| ABBVIE INC. | $38 |
| Supernus Pharmaceuticals, Inc. | $20 |
| Lundbeck LLC | $19 |
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: 2017-09-13
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 |
|---|---|---|---|---|
| I20170913001840 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 13 | $0 |
Insurance plans in this area (ZIP 84341)
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