DONALD B TARDIF (PA-C) – Physician Assistant, NPI 1891887170
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
324 PHYSICIAN ASSISTANT in WY
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Provider Addresses for DONALD B TARDIF (PA-C)
Gillette Post Office, 311, South Kendrick Avenue, Gillette, Campbell County, Wyoming, 82716, United States
GILLETTE, WY 827173011
Phone: (307) 464-0413
Fax: (307) 688-7965
Type: Mailing
Campbell County Health, 501, South Burma Avenue, Gillette, Campbell County, Wyoming, 82716, United States
GILLETTE, WY 827163426
Phone: (307) 464-0413
Fax: (307) 688-7965
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Novo Nordisk Inc ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $21 |
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: 2006-11-07
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 |
|---|---|---|---|---|
| I20061107000320 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 165 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 71 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | 40 | $0 |
| 81003 | Automated urinalysis test | 25 | 17 | $0 |
Insurance plans in this area (ZIP 82717)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | IL | |
| - | WY | |
| Internal Medicine | IL | |
| Emergency Medicine | ND | |
| - | WY | |
| - | WY | |
| Clinical Social Worker | WY | |
| Orthopedic Surgery | WY | |
| Nurse Practitioner | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY |
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