IndividualActiveAccepts Medicare

Tiffani Dorn, PA-C

NPI 1629460183 · Physician Assistant · Newark, OH

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1629460183
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No
License: 7562-23 (WI)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 004253 (OH)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 7562-23 (WI)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense OA006586 (PA)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 085.008370 (IL)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 027353 (NY)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
11 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
85 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204	27	$119
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	23	$91
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	19	$66
New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203	16	$82

Typical Medicare-allowed amounts for these services range $66–$119 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Prednisone	36	36
Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass	26	26
Cephalexin	23	23
Fluticasone Propionate	22	22
Albuterol Sulfatebrand: Albuterol Sulfate Hfa	20	19
Doxycycline Hyclate	20	20
Amoxicillin	18	18

Practice location

919 Glyn Evans Ct

Newark, OH 43055-1792

Phone: (740) 405-5120

Fax: (740) 788-8268

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