TIFFANY KIDD WORMUTH (PA) – Physician Assistant, NPI 1992727416
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for TIFFANY KIDD WORMUTH (PA)
1300 SENTARA PARK # 3
VIRGINIA BEACH, VA 234645884
Phone: (757) 252-3050
Type: Location
5000 COX RD
GLEN ALLEN, VA 230609263
Phone: (804) 968-5700
Type: Mailing
1300 Sentara Park # 3
Virginia Beach, VA 234645884
Phone: (757) 252-3050
Type: Location
7200 Glen Forest Dr Ste 106
Richmond, VA 232263768
Phone: (804) 495-0053
Fax: (720) 598-0440
Type: Location
7238 Mechanicsville Tpke
Mechanicsville, VA 231113502
Phone: (804) 559-9900
Fax: (804) 559-6530
Type: Location
6512 WOODLAKE VILLAGE CIR
MIDLOTHIAN, VA 231122200
Phone: (888) 628-8272
Type: Location
Patient First, 7238, Mechanicsville Turnpike, Mechanicsville, Hanover County, Virginia, 23111, United States
MECHANICSVILLE, VA 231113502
Phone: (804) 559-9900
Fax: (804) 559-6530
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: 2004-10-04
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 |
|---|---|---|---|---|
| I20041004001028 | I | Physician Assistant | 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 | 118 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 109 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 71046 | X-ray of chest, 2 views | 15 | 15 | $0 |
Insurance plans in this area (ZIP 23464)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | VA | 81002 | Urinalysis, manual test | 20 | 20 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | VA | |
| P O D I A T R Y | PA | |
| General Surgery, Vascular Surgery | TX | |
| Physician Assistant | VA | |
| P O D I A T R Y | MD | |
| P O D I A T R Y | MD | |
| Interventional Radiology, Diagnostic Radiology | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | MD | |
| P O D I A T R Y | VA |
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