TIFFINI DAWN PINION
NPI 1780151365
Nurse Practitioner in Galion, OH

Active since October 31, 2018PECOS EnrolledAccepts Medicare Assignment
73.97/100
CMS Quality Rating
269 PORTLAND WAY S, GALION, OH 44833(419) 569-1793 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2021, Oct 31, 2018 (2 updates tracked since 2018).

About Tiffini Dawn Pinion NPPES

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

TIFFINI DAWN PINION (NPI 1780151365) is an individual nurse practitioner in Galion, Ohio, licensed in Ohio (APRN.CNP.023790) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780151365
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFINI DAWN PINION
Location Address269 PORTLAND WAY SGalion, OH 44833-2312
Mailing Address269 Portland Way SGalion, OH 44833-2312 · (419) 569-1793
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 31, 2018
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
NPI 1780151365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.023790
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License APRN.CNP.023790 (OH)
269 PORTLAND WAY S, Galion, OH 44833

Other Identifiers 1

Medicaid0334992OH

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

Tiffini Dawn Pinion 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 ID7012255094
PECOS Enrollment IDI20190218001103
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 3

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.
484 services385 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.
61 services60 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.
36 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361316
Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44833 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

Referred Medical Equipment & Supplies CMS DME claims 20

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
18 suppliers469 claims469 services$41.32 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers320 claims320 services$102.52 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers320 claims723 services$38.68 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers147 claims732 services$23.42 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers151 claims755 services$15.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers309 claims310 services$64.93 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 20

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

Pediatrics
269 PORTLAND WAY S
GALION, OH 44833
Nurse Anesthetist, Certified Registered
269 PORTLAND WAY S
GALION, OH 44833
Physician Assistant
269 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner (Family)
269 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner (Family)
269 PORTLAND WAY S
GALION, OH 44833
Speech-Language Pathologist
269 PORTLAND WAY S
GALION, OH 44833
Speech-Language Pathologist
269 PORTLAND WAY S
GALION, OH 44833
Nurse Practitioner
269 PORTLAND WAY S
GALION, OH 44833

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 Tiffini Pinion's NPI number?

The NPI number for Tiffini Pinion is 1780151365. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Where is Tiffini Pinion located?

Tiffini Pinion practices at 269 Portland Way S, Galion, OH 44833. The listed phone number is (419) 569-1793.

What is Tiffini Pinion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tiffini Pinion enrolled in Medicare?

Yes. Tiffini Pinion 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 Tiffini Pinion accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list Tiffini Pinion 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 Tiffini Pinion affiliated with any hospitals?

According to CMS data, Tiffini Pinion is affiliated with Ohiohealth Mansfield Hospital, Avita Ontario, Bucyrus Community Hospital and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for Tiffini Pinion was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.