TIFFANI DAWN LEMEN M.D.
NPI 1760651210
Family Medicine in Lewes, DE

Active since February 28, 2008PECOS EnrolledAccepts Medicare Assignment
12.92/100
CMS Quality Rating
36825 GROVE ESTATE RD, LEWES, DE 19958(304) 546-7595 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2023, Nov 13, 2019 (2 updates tracked since 2019).

About Tiffani Dawn Lemen M.d. NPPES

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

TIFFANI DAWN LEMEN M.D. (NPI 1760651210) is an individual family medicine provider in Lewes, Delaware, licensed in Delaware (C1-0023955) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of West Virginia University School Of Medicine (2007).

NPPES Registry Identity

NPI1760651210
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTIFFANI DAWN LEMENCredential: M.D.
Location Address36825 GROVE ESTATE RDLewes, DE 19958-2757
Mailing Address36825 Grove Estate RdLewes, DE 19958-2757 · (304) 546-7595
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2007
Enumeration DateFebruary 28, 2008
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
NPI 1760651210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in DE · C1-0023955 Licensed in ME · MD24139 Licensed in SC · 84912 Licensed in IN · 01084616A Licensed in KY · 54279 Licensed in MA · 285704 Licensed in AL · MD.41530 Licensed in CT · 66797 Licensed in FL · 146700 Licensed in GA · 86957 Licensed in MD · D0090176 Licensed in NC · 2020-04043 Licensed in PA · MD438574 Licensed in MI · 4301502913 Licensed in MS · 28198
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.
36825 GROVE ESTATE RD, Lewes, DE 19958

Secondary Practice Locations 2

Location 11701 John F Kennedy Blvd, Comcast Health Center, Floor 25Philadelphia, PA 19103 · Phone (215) 330-2029
Location 2700 Horizon Cir, Suite 103Chalfont, PA 18914-3907 · Phone (215) 822-3130 · Fax (215) 822-3134

Other Identifiers 1

Medicaid1024717770001PA

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

Tiffani Dawn Lemen 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 ID1355472671
PECOS Enrollment IDI20230310001868, I20230313001625, I20230314000611, I20230315000837, I20230315001043, I20230315001295, I20230315002387, I20230320001183, I20230320002420, I20230321000224, I20230321000309, I20230321000442, I20230321001596, I20230322002532, I20230322002939, I20230323002815, I20230324002150, I20230418001809
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 8

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
5,836 services1,342 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
5,162 services1,470 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,052 services234 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.
763 services218 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
234 services119 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
173 services141 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19958 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

12.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost43.07

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 Tiffani Lemen's NPI number?

The NPI number for Tiffani Lemen is 1760651210. It was assigned to this individual provider in the NPPES registry on February 28, 2008.

Where is Tiffani Lemen located?

Tiffani Lemen practices at 36825 Grove Estate Rd, Lewes, DE 19958. The listed phone number is (304) 546-7595.

What is Tiffani Lemen's specialty?

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

Is Tiffani Lemen enrolled in Medicare?

Yes. Tiffani Lemen 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 Tiffani Lemen accept?

Health plans from AmeriHealth Caritas Next list Tiffani Lemen 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 Tiffani Lemen was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.