Doctor profile · Federal record
Dr. Tiffany Ickiewicz
Physician Assistant · Meadville, PA
- NPI 1902101140
- Accepts Medicare
- 17 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
765 Liberty St Ste 310
Meadville, PA 163352569
(814) 333-7030
fax (814) 373-3428 - Mailing address
-
1034 Grove St
Meadville, PA 163352945
Credentials & registration
- NPI registered
- January 2011 — 15 yrs on file
- Profile last updated
- July 6, 2021
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Pennsylvania #MA054038
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902101140. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
295
Distinct HCPCS
6
Medicare allowed
$29,865
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 136 | 86 | $106 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 56 | 56 | $107 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 39 | 39 | $15 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 29 | 22 | $148 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 22 | 20 | $75 | |
99496 |
Transitional care management services for problem of high complexity | 13 | 12 | $228 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 759. This provider delivers 0.4× the peer median.Open Payments
Industry payments received
All-time total
$1,414
Transactions
60
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 10 | $187.29 | |
| ABBVIE INC. | 8 | $135.93 | |
| Madrigal Pharmaceuticals | 2 | $126.56 | |
| Astellas Pharma US Inc | 4 | $115.08 | |
| Lilly USA, LLC | 7 | $109.64 | |
| PFIZER INC. | 5 | $92.22 | |
| Amgen Inc. | 3 | $57.24 | |
| Novartis Pharmaceuticals Corporation | 3 | $55.68 | |
| Lundbeck LLC | 3 | $49.50 | |
| Phathom Pharmaceuticals, Inc. | 3 | $48.15 | |
| AstraZeneca Pharmaceuticals LP | 3 | $46.71 | |
| GlaxoSmithKline, LLC. | 3 | $45.26 | |
| Exact Sciences Corporation | 2 | $44.49 | |
| SHIELD THERAPEUTICS INC | 2 | $43.00 | |
| Inspire Medical Systems, Inc. | 2 | $41.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
241
Patients
46
Total drug cost
$2,419
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Losartan Potassium | Generic | 26 | 13 | $349 |
| Amlodipine Besylate | Generic | 23 | 0 | $78 |
| Atorvastatin Calcium | Generic | 22 | 11 | $182 |
| Levothyroxine Sodium | Generic | 22 | 11 | $532 |
| Lisinopril | Generic | 22 | 0 | $63 |
| Hydrochlorothiazide | Generic | 20 | 0 | $89 |
| Simvastatin | Generic | 17 | 0 | $159 |
| Fluoxetine Hcl | Generic | 14 | 0 | $86 |
| Donepezil Hcl | Generic | 13 | 0 | $334 |
| Doxycycline Hyclate | Generic | 13 | 11 | $125 |
Frequently asked questions
What is Dr. Tiffany Ickiewicz's medical specialty?
Dr. Tiffany Ickiewicz practices Physician Assistant in Meadville, PA.
Where does Dr. Tiffany Ickiewicz practice?
Dr. Tiffany Ickiewicz practices at 765 Liberty St Ste 310, Meadville, PA 163352569. Office phone: 8143337030.
What is Dr. Tiffany Ickiewicz's NPI?
Dr. Tiffany Ickiewicz's National Provider Identifier (NPI) is 1902101140, issued by NPPES.
Does Dr. Tiffany Ickiewicz accept Medicare assignment?
Yes. Dr. Tiffany Ickiewicz accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tiffany Ickiewicz commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Annual depression screening, 5 to 15 minutes (HCPCS G0444). Source: CMS Medicare Physician & Other Practitioners file.