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TIFFANY MADSEN OHTA MD
NPI 1144398413
Pediatrics in Wesley Chapel, NC

Active since December 02, 2006PECOS Enrolled
6488 WEDDINGTON MONROE RD, WESLEY CHAPEL, NC 28104(704) 384-8460(704) 384-1018 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 4, 2023, Mar 9, 2023, Feb 28, 2023 and 55 more (58 updates tracked since 2016).

About Tiffany Madsen Ohta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY MADSEN OHTA MD (NPI 1144398413) is an individual pediatrics provider in Wesley Chapel, North Carolina, licensed in North Carolina (2016-00856) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144398413
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTIFFANY MADSEN OHTACredential: MD
Location Address6488 WEDDINGTON MONROE RDWesley Chapel, NC 28104-7948
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 384-8460
Fax(704) 384-1018
Sole ProprietorNo
Enumeration DateDecember 2, 2006
Last NPPES UpdateJanuary 27, 202558 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1144398413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2016-00856
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6488 WEDDINGTON MONROE RD, Wesley Chapel, NC 28104
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Secondary Practice Locations 2

Location 13614 Providence Rd S Ste 101Waxhaw, NC 28173-6310 · Phone (704) 384-8460 · Fax (704) 384-8771
Location 21350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1422

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Madsen Ohta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tiffany Ohta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Obstetrics & Gynecology
6488 WEDDINGTON MONROE RD
Wesley Chapel, NC 28104
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1306329057 (704) 384-1020
Carolinas Medical Center
7.8 mi
Psychiatry
7825 BALLANTYNE COMMONS PKWY, SUITE 110
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1427303056 (704) 446-8031

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVANT HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
6488 WEDDINGTON MONROE RD
WESLEY CHAPEL, NC 28104
Union County (704) 384-1020
KRISTEN MARIE SMITH CNM
Advanced Practice Midwife
6488 WEDDINGTON MONROE RD
WESLEY CHAPEL, NC 28104
Union County (704) 384-1020
DR. RYAN JASON STEMPNIAK MD
Family Medicine
6488 WEDDINGTON MONROE RD
WESLEY CHAPEL, NC 28104
Union County (704) 316-5650
SADHANA ARCHANA CHAR M.D.
Family Medicine
6488 WEDDINGTON MONROE RD
WESLEY CHAPEL, NC 28104
Union County (704) 316-5650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Ohta's NPI number?

The NPI number for Tiffany Ohta is 1144398413. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Where is Tiffany Ohta located?

Tiffany Ohta practices at 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104. The listed phone number is (704) 384-8460.

What is Tiffany Ohta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tiffany Ohta enrolled in Medicare?

Yes. Tiffany Ohta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tiffany Ohta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Ohta reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Wesley Chapel, NC) and Carolinas Medical Center (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Ohta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Ohta accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Tiffany Ohta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Ohta was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.