TIFFANY E POLO – Nurse Practitioner, NPI 1548640873
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for TIFFANY E POLO
1041 SHARON RD
SUITE 205
KING WILLIAM, VA 230863347
Phone: (804) 746-1677
Fax: (804) 769-3170
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $840.
Total Amount is formed as General ($840) + Research ($0) + Ownership ($0) = $840.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($120).
Total Amount
$840
General + Research + Ownership
Payments
34
Total payment records
General Amount
$840
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $120 |
| Novo Nordisk Inc | $98 |
| Abbott Laboratories | $83 |
| ABBVIE INC. | $76 |
| Lilly USA, LLC | $74 |
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: 2015-08-19
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 |
|---|---|---|---|---|
| I20150819006919 | I | Nurse Practitioner | VA | 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 | 336 | 171 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 186 | 137 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 120 | 120 | $0 |
| G0008 | Administration of influenza virus vaccine | 20 | 20 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 23086)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | VA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | VA | |
| Interventional Cardiology | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Cardiac Electrophysiology | VA | |
| H O S P I T A L I S T | IL | |
| Cardiovascular Disease (Cardiology) | VA | |
| Nurse Practitioner | VA | |
| Interventional Cardiology | FL | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | VA | |
| Nurse Practitioner | VA |
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