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TAMARA THRELKELD PISTORIA DO
NPI 1932107158
Pediatrics in Lakeland, FL

Active since July 12, 2005PECOS Enrolled
1033 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803(863) 647-8011(863) 647-8029 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tamara Threlkeld Pistoria Do NPPES

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

TAMARA THRELKELD PISTORIA DO (NPI 1932107158) is an individual pediatrics provider in Lakeland, Florida, licensed in Florida (OS0008614) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932107158
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTAMARA THRELKELD PISTORIACredential: DO
Location Address1033 N PARKWAY FRONTAGE RDLakeland, FL 33803-0401
Mailing AddressPo Box 95004Lakeland, FL 33804-5004 · (863) 680-7000 · Fax (863) 680-7420
Phone(863) 647-8011
Fax(863) 647-8029
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJune 26, 2012
✔ NPI 1932107158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · OS0008614
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1033 N PARKWAY FRONTAGE RD, Lakeland, FL 33803
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Other Identifiers 2

Medicare PIN47871FL
Medicaid264246800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Threlkeld Pistoria Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tamara Pistoria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeland Regional Health Systems, Inc.
4.5 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33803 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

JUSTINE DAWN JONES CST
Specialist/Technologist, Other (Surgical Technologist)
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Polk County (863) 647-8011
BRANDI NICOLE PLUMMER APRN
Nurse Practitioner
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Polk County (863) 680-7190
JOCELYNE MENDOZA PA
Physician Assistant
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Polk County (863) 647-4047
GUILLERMO O VASQUEZ MD
Internal Medicine
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Polk County (863) 680-7190
RONAL HASKINS MD
Pediatrics
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Polk County (863) 647-8011
WATSON CLINIC LLP
Internal Medicine
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Polk County (863) 647-8011
CHARDE HOLT PA
Physician Assistant
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Polk County (863) 647-8011
DR. ZULLY ALICIA CALVO DPM
Podiatrist
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803
Polk County (863) 680-7214

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 Tamara Pistoria's NPI number?

The NPI number for Tamara Pistoria is 1932107158. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Tamara Pistoria located?

Tamara Pistoria practices at 1033 N Parkway Frontage Rd, Lakeland, FL 33803. The listed phone number is (863) 647-8011.

What is Tamara Pistoria's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tamara Pistoria enrolled in Medicare?

Yes. Tamara Pistoria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tamara Pistoria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Pistoria reassigns Medicare benefits to Lakeland Regional Health Systems, Inc. (Lakeland, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamara Pistoria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Pistoria accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Tamara Pistoria 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 Tamara Pistoria was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.