TIFFANY NICOLE LOWDER PA
NPI 1679010813
Physician Assistant in Albemarle, NC

Active since January 26, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
929 N 2ND ST, STE 205, ALBEMARLE, NC 28001(980) 323-5625 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 29 more (32 updates tracked since 2017).

About Tiffany Nicole Lowder Pa NPPES

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

TIFFANY NICOLE LOWDER PA (NPI 1679010813) is an individual physician assistant in Albemarle, North Carolina, licensed in North Carolina (0010-07013) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Stanly Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1679010813
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY NICOLE LOWDERCredential: PA
Location Address929 N 2ND ST, STE 205Albemarle, NC 28001-3363
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 26, 2017
Last NPPES UpdateJuly 15, 202432 updates tracked since enumeration
NPI 1679010813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-07013
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
929 N 2ND ST, Albemarle, NC 28001

Secondary Practice Locations 4

Location 11585 Forney Creek Pkwy, Ste 2350Denver, NC 28037-9514 · Phone (980) 212-4000
Location 21025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-4593
Location 3441 McAlister RdLincolnton, NC 28092-4126 · Phone (980) 212-4000
Location 410650 Park Rd, Ste 480Charlotte, NC 28210-8538 · Phone (704) 667-0520

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

Tiffany Nicole Lowder Pa 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 ID4183900129
PECOS Enrollment IDI20170406000244
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
203 services110 patients
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.
66 services51 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
33 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28001 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Pulmonary Disease)
929 N 2ND ST, SUITE 205
ALBEMARLE, NC 28001
Internal Medicine (Pulmonary Disease)
929 N 2ND ST, STE 205
ALBEMARLE, NC 28001
Internal Medicine (Pulmonary Disease)
929 N 2ND ST, STE 205
ALBEMARLE, NC 28001
Family Medicine
929 N 2ND ST
ALBEMARLE, NC 28001
Nurse Practitioner
929 N 2ND ST, STE 205
ALBEMARLE, NC 28001
Internal Medicine
929 N 2ND ST, SUITE 201
ALBEMARLE, NC 28001
Internal Medicine (Gastroenterology)
929 N 2ND ST, SUITE 105
ALBEMARLE, NC 28001
Family Medicine
929 N 2ND ST, SUITE 201
ALBEMARLE, NC 28001

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 Lowder's NPI number?

The NPI number for Tiffany Lowder is 1679010813. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Where is Tiffany Lowder located?

Tiffany Lowder practices at 929 N 2nd St Ste 205, Albemarle, NC 28001. The listed phone number is (980) 323-5625.

What is Tiffany Lowder's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tiffany Lowder enrolled in Medicare?

Yes. Tiffany Lowder 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 Tiffany Lowder accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Tiffany Lowder 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 Tiffany Lowder affiliated with any hospitals?

According to CMS data, Tiffany Lowder is affiliated with Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Lowder was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.