Doctor profile · Federal record
Dr. Tara Fishback, PA-C
Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Traverse City, MI
- NPI 1528400629
- Accepts Medicare
- 13 yrs in practice
- Licensed in 4 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
1221 Sixth St Ste 300
Traverse City, MI 496842360
(231) 392-0640
fax (231) 392-0643 - Additional location
-
498 Essex St Ste 105
Bangor, ME 044013990
(207) 947-0558 - Additional location
-
50 Union St
Ellsworth, ME 04605
(207) 664-5405 - Additional location
-
250 E Dunlap Ave
Phoenix, AZ 850202825
(602) 396-7491
Show 1 more location
Credentials & registration
- NPI registered
- July 2013 — 13 yrs on file
- Profile last updated
- July 19, 2021
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (4)
- Michigan #5601010328 · Arizona #5447 · Wisconsin #3747-23 · Maine #PA1799
- Medicaid
- AZ #832909
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528400629. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
67
Distinct HCPCS
2
Medicare allowed
$3,628
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 34 | 20 | $66 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 33 | 21 | $42 |
In context: peer comparison
Among 31 peers in this city , average services per provider: 135. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$30
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Aesculap, Inc. | 1 | $30.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
84
Patients
79
Total drug cost
$479
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 30 | 29 | $120 |
| Tizanidine Hcl | Generic | 15 | 13 | $88 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 14 | 13 | $71 |
| Methocarbamol | Generic | 13 | 13 | $69 |
| Gabapentin | Generic | 12 | 11 | $130 |
Hospital affiliations
Frequently asked questions
What is Dr. Tara Fishback's medical specialty?
Dr. Tara Fishback practices Physician Assistant in Traverse City, MI.
Where does Dr. Tara Fishback practice?
Dr. Tara Fishback practices at 1221 Sixth St Ste 300, Traverse City, MI 496842360. Office phone: 2313920640.
What is Dr. Tara Fishback's NPI?
Dr. Tara Fishback's National Provider Identifier (NPI) is 1528400629, issued by NPPES.
Does Dr. Tara Fishback accept Medicare assignment?
Yes. Dr. Tara Fishback accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tara Fishback commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231). Source: CMS Medicare Physician & Other Practitioners file.