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Active NPI 1073009619 Individual Practitioner Female Practitioner

Tiffany Dyal

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tiffany Dyal is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 8 years of clinical experience since completing medical education in 2018, Tiffany Dyal delivers high-quality medical care to the local community at 14546 OLD SAINT AUGUSTINE RD STE 409.

Tiffany Dyal accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of cage or mesh device to spine bone and disc space during spine fusion, partial removal of middle spine bone with release of spinal cord and/or nerves, partial removal of spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14546 Old Saint Augustine Rd Ste 409

Jacksonville, FL 322585473

Telephone 9043886518
Fax 9043841005
Associated Practice Facility / Clinic
🏢 Lyerly Baptist Inc Facility NPI 1851347801

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -3.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dyal (8 Years) 8 Yrs
Jacksonville Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
75 41 $95.17 $35.48
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
56 56 $407.52 $146.42
63048 Partial removal of spine bone with release of spinal cord and/or nerves
28 19 $77.81 $29.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
24 23 $139.75 $46.53
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc
23 18 $146.80 $53.83
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
21 21 $630.23 $230.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $277.00 $92.77
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach
17 17 $557.63 $125.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $416.18 $130.92
22845 Placement of stabilizing device to front, 2-3 spine bone segments
17 17 $269.29 $96.98
22614 Fusion of additional segment of spine
16 11 $144.72 $55.48
22612 Fusion of spine in lower back
16 16 $577.71 $221.55
99213 Established patient office or other outpatient visit, typically 15 minutes
15 15 $224.47 $75.08
22842 Placement of stabilizing device to back, 3-6 spine bone segments
13 13 $281.80 $108.02
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine
13 13 $335.72 $124.02
99202 New patient office or other outpatient visit, typically 20 minutes
12 12 $177.50 $59.52

Medical Specialties & State Licenses

CMS Verified: 2024-06-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9111506

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9111506

Definition to come...

Secondary Practice Locations

3 Shircliff Way Ste 714

Jacksonville, FL 322044786

Phone: 9043082006

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Defazio , PA-C

Physician Assistant

NPI 1003271404

Physician Assistant (Certified)

Timothy Garrahy , APRN

Nurse Practitioner

NPI 1013530807

Advanced Practice Registered Nurse

Dr. Sasha Vaziri , MD

Neurological Surgery

NPI 1023495017

Doctor of Medicine (M.D.)

Dr. Krishnan Ravindran , MD

Neurological Surgery

NPI 1053872739

Doctor of Medicine (M.D.)

Annalise Deboef , APRN

Nurse Practitioner

NPI 1053926501

Advanced Practice Registered Nurse

Faith Hill , APRN

Nurse Practitioner

NPI 1073339545

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address June 25, 2024

Registered at PO BOX 746647, ATLANTA, GA 303746647 (Tel: 9043886518)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Physician Assistant (License #PA9111506 in FL)

📍
Updated Practice Location December 29, 2023

Registered at 14546 OLD SAINT AUGUSTINE RD STE 409, JACKSONVILLE, FL 322585473 (Tel: 9043886518)

📍
Updated Business Mailing Address December 29, 2023

Registered at PO BOX 40767, JACKSONVILLE, FL 322030767 (Tel: 9043763707)

👤
Provider Name / Credentials Updated December 04, 2023

Recorded as TIFFANY DYAL

📍
Updated Practice Location October 10, 2018

Registered at 3 SHIRCLIFF WAY STE 714, JACKSONVILLE, FL 322044786 (Tel: 9043082006)

📍
Updated Business Mailing Address October 10, 2018

Registered at 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 322163623

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2018

Physician Assistant (License #PA9111506 in FL)

NPI Profile Active July 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2018

Registered at 2369 SEMINOLE RD, ATLANTIC BEACH, FL 322335971 (Tel: 9049244493)

📍
Updated Business Mailing Address July 06, 2018

Registered at 2369 SEMINOLE RD, ATLANTIC BEACH, FL 322335971

👤
Provider Name / Credentials Updated July 06, 2018

Recorded as TIFFANY FROHWEIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073009619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2018
Last Update: June 25, 2024
Sole Proprietor: No

Mailing Address

Po Box 746647

Atlanta, GA 303746647

Phone: 9043886518

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.