DR. TRICIA KAYE GIFFORD MD
NPI 1326029158
Family Medicine in Columbus, IN

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
4001 W GOELLER BLVD, COLUMBUS, IN 47201(812) 375-3330(812) 375-3329 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2024, Jan 12, 2023, Dec 23, 2022 and 2 more (5 updates tracked since 2020).

About Dr. Tricia Kaye Gifford Md NPPES

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

DR. TRICIA KAYE GIFFORD MD (NPI 1326029158) is an individual family medicine provider in Columbus, Indiana, licensed in Indiana (01063240) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2000).

NPPES Registry Identity

NPI1326029158
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TRICIA KAYE GIFFORDCredential: MD
Location Address4001 W GOELLER BLVDColumbus, IN 47201-8308
Mailing AddressPo Box 775383Chicago, IL 60677-5383 · (812) 376-5315
Fax(812) 375-3329
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2000
Enumeration DateNovember 9, 2005
Last NPPES UpdateSeptember 6, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1326029158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01063240 Licensed in IL · 36101716
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4001 W GOELLER BLVD, Columbus, IN 47201

Other Names 1

Former Name (1)Dr. Tricia Kaye Warner Md

Other Identifiers 5

Medicaid036101716IL
Other0004132020IL · Bcbs
Medicaid201311170IN
Other000000991452IN · Anthem Pin
OtherL76814Pin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tricia Kaye Gifford Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921001173
PECOS Enrollment IDI20070515000417
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.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
340 services203 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
294 services194 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
199 services162 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
164 services164 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
131 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
107 services74 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Ascension St Vincent Jennings

Critical Access Hospitals · North Vernon, IN
OwnershipVoluntary non-profit - Church
CMS Certification Number151303
Location301 Henry StNorth Vernon, IN 47265 · Jennings County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers31 claims64 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims27 services$1.09 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers11 claims220 services$4.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers16 claims16 services$103.63 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers17 claims41 services$38.12 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$20.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
4001 W GOELLER BLVD
COLUMBUS, IN 47201
Nurse Practitioner (Family)
4001 W GOELLER BLVD
COLUMBUS, IN 47201
Family Medicine
4001 W GOELLER BLVD
COLUMBUS, IN 47201

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 Tricia Gifford's NPI number?

The NPI number for Tricia Gifford is 1326029158. It was assigned to this individual provider in the NPPES registry on November 9, 2005. The provider is also known as Dr. Tricia Kaye Warner MD.

Where is Tricia Gifford located?

Tricia Gifford practices at 4001 W Goeller Blvd, Columbus, IN 47201. The listed phone number is (812) 375-3330.

What is Tricia Gifford's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tricia Gifford enrolled in Medicare?

Yes. Tricia Gifford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tricia Gifford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tricia Gifford 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.

Is Tricia Gifford affiliated with any hospitals?

According to CMS data, Tricia Gifford is affiliated with Columbus Regional Hospital and Ascension St Vincent Jennings.

When was this NPI record last updated?

The NPPES record for Tricia Gifford was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.