TIFFANY MARIE WILLARD M.D.
NPI 1396769436
Surgery - Surgical Critical Care in Colorado Springs, CO

Q: What is Tiffany Willard's NPI number?

The NPI number for Tiffany Willard is 1396769436. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Tiffany Willard's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Willard was last updated on August 9, 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.

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1400 E BOULDER ST, SUITE 600, COLORADO SPRINGS, CO 80909(719) 364-6487(719) 364-6488 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Jul 30, 2024, Dec 19, 2019 and 1 more (4 updates tracked since 2016).

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About Tiffany Marie Willard M.d. NPPES

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

TIFFANY MARIE WILLARD M.D. (NPI 1396769436) is an individual surgical critical care provider in Colorado Springs, Colorado, licensed in Colorado (DR.0046934) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pueblo, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2002).

NPPES Registry Identity

NPI1396769436

Entity TypeIndividualFemale

Primary Taxonomy2086S0102X

Provider Legal NameTIFFANY MARIE WILLARDCredential: M.D.

Location Address1400 E BOULDER ST, SUITE 600Colorado Springs, CO 80909-5533

Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-2412 · Fax (719) 364-6488

Phone(719) 364-6487

Fax(719) 364-6488

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2002

Enumeration DateJuly 26, 2006

Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration

NPPES CertifiedAugust 9, 2024

✔ NPI 1396769436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in CO · DR.0046934

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License DR.0046934 (CO)

1400 E BOULDER ST, Colorado Springs, CO 80909

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Secondary Practice Location 1

Location 11020 Lakeview AvePueblo, CO 81004-3508 · Phone (719) 557-3777 · Fax (719) 557-3775

Other Identifiers 1

Medicaid20634064CO

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

Tiffany Marie Willard M.d. 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 ID7810063385

PECOS Enrollment IDI20080906000138

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 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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier12 claims220 services$3.36 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

3 suppliers14 claims410 services$4.92 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

3 suppliers16 claims234 services$2.50 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

4 suppliers15 claims555 services$5.47 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

4 suppliers25 claims930 services$3.46 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers17 claims950 services$0.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

ERIC WU M.D.

Emergency Medicine