TIFFANY MARIE D'ORTONA CNP
NPI 1871112581
Nurse Practitioner - Family in Medford, MA

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment
87.05/100
CMS Quality Rating

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2020, Apr 13, 2020 (2 updates tracked since 2020).

About Tiffany Marie D'ortona Cnp NPPES

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

TIFFANY MARIE D'ORTONA CNP (NPI 1871112581) is an individual family provider in Medford, Massachusetts, licensed in Massachusetts (2301162) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871112581
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY MARIE D'ORTONACredential: CNP
Location Address85 HIGH STMedford, MA 02155-3825
Mailing Address85 High StMedford, MA 02155-3825 · (781) 396-4770
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 13, 2020
Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
NPI 1871112581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · 2301162
85 HIGH ST, Medford, MA 02155

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 Marie D'ortona Cnp 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 ID1153743802
PECOS Enrollment IDI20200625001003
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 14

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.
285 services177 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.
97 services80 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.
66 services66 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
46 services42 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
43 services43 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

87.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.99
Promoting Interoperability99
Improvement Activities40
Cost70.68

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$30.99 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 19

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

Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
85 HIGH ST
MEDFORD, MA 02155
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Nurse Practitioner (Family)
85 HIGH ST
MEDFORD, MA 02155
Nurse Practitioner
85 HIGH ST
MEDFORD, MA 02155
Nurse Practitioner (Family)
85 HIGH ST
MEDFORD, MA 02155
Pharmacist
85 HIGH ST
MEDFORD, MA 02155
Pharmacist
85 HIGH ST
MEDFORD, MA 02155

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 D'ortona's NPI number?

The NPI number for Tiffany D'ortona is 1871112581. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Tiffany D'ortona located?

Tiffany D'ortona practices at 85 High St, Medford, MA 02155. The listed phone number is (781) 396-4770.

What is Tiffany D'ortona's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiffany D'ortona enrolled in Medicare?

Yes. Tiffany D'ortona 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 D'ortona accept?

Health plans from Anthem Blue Cross and Blue Shield list Tiffany D'ortona 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 D'ortona affiliated with any hospitals?

According to CMS data, Tiffany D'ortona is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany D'ortona was last updated on November 19, 2020. 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.