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TIFFANY ICKIEWICZ
NPI 1902101140
Physician Assistant in Meadville, PA

Active since January 19, 2011PECOS EnrolledAccepts Medicare Assignment
765 LIBERTY ST STE 310, MEADVILLE, PA 16335(814) 333-7030(814) 373-3428 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2021, May 21, 2021, Feb 24, 2021 and 1 more (4 updates tracked since 2019).

About Tiffany Ickiewicz NPPES

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

TIFFANY ICKIEWICZ (NPI 1902101140) is an individual physician assistant in Meadville, Pennsylvania, licensed in Pennsylvania (MA054038) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Meadville Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1902101140
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY ICKIEWICZ
Location Address765 LIBERTY ST STE 310Meadville, PA 16335-2569
Mailing Address1034 Grove StMeadville, PA 16335-2945 · (814) 333-7030 · Fax (814) 373-3428
Phone(814) 333-7030
Fax(814) 373-3428
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 19, 2011
Last NPPES UpdateJuly 6, 20214 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1902101140 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 PA · MA054038
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.
765 LIBERTY ST STE 310, Meadville, PA 16335
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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 Ickiewicz 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 ID7214112267
PECOS Enrollment IDI20110506000266
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 4

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.
155 services96 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.
83 services83 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.
38 services38 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16335 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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
2 suppliers15 claims15 services$52.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ickiewicz's NPI number?

The NPI number for Tiffany Ickiewicz is 1902101140. It was assigned to this individual provider in the NPPES registry on January 19, 2011.

Where is Tiffany Ickiewicz located?

Tiffany Ickiewicz practices at 765 Liberty St Ste 310, Meadville, PA 16335. The listed phone number is (814) 333-7030.

What is Tiffany Ickiewicz's specialty?

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

Is Tiffany Ickiewicz enrolled in Medicare?

Yes. Tiffany Ickiewicz 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.

Is Tiffany Ickiewicz affiliated with any hospitals?

According to CMS data, Tiffany Ickiewicz is affiliated with Meadville Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Ickiewicz was last updated on July 6, 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.