AMY L. TIBBITS (PA-C) – Physician Assistant, NPI 1295809564
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for AMY L. TIBBITS (PA-C)
800 CLAY ST
DARLINGTON, WI 535301228
Phone: (608) 776-4497
Fax: (608) 776-2837
Type: Mailing
731 CLAY ST
DARLINGTON, WI 535301225
Phone: (608) 776-4497
Fax: (608) 776-2317
Type: Location
1400 Eastside Rd
Platteville, WI 538189800
Phone: (608) 348-2331
Type: Location
202 S Park St
Madison, WI 537151507
Phone: (608) 267-6000
Type: Location
Family Health of Lafayette County, 731, Clay Street, Darlington, Lafayette County, Wisconsin, 53530, United States
DARLINGTON, WI 535301225
Phone: (608) 776-4497
Fax: (608) 776-2317
Type: Mailing
UnityPoint Health - Meriter, 202, South Park Street, Greenbush, Bowens Addition, Madison, Dane County, Wisconsin, 53715, United States
MADISON, WI 537151507
Phone: (608) 267-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $496.
Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: PFIZER INC. ($178).
Total Amount
$496
General + Research + Ownership
Payments
26
Total payment records
General Amount
$496
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $178 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $113 |
| Novo Nordisk Inc | $50 |
| Lilly USA, LLC | $48 |
| Amgen Inc. | $42 |
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: 2006-12-12
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 |
|---|---|---|---|---|
| I20061212000173 | I | Physician Assistant | WI | 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 53530)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 83036 | Hemoglobin A1C level | 66 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| Cardiovascular Disease (Cardiology) | WI | |
| - | IL | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| U R O L O G Y | WI | |
| Hospitalist, Family Practice | WI | |
| Clinical Social Worker | WI | |
| Orthopedic Surgery | WI | |
| Osteopathic Manipulative Medicine | WI |
Reviews
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