Doctor profile · Federal record
Dr. Tiffany Providence, DO
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · General Practice Physician · Dallas, TX
- NPI 1316267404
- Accepts Medicare
- MIPS 87.3 / 100 · 2023
- 16 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4055 Valley View Ln Ste 400
Dallas, TX 752445071
(469) 466-7420
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- May 9, 2024
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (3)
- Georgia #075202 · Michigan #5101021534 · Georgia #75202
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316267404. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,986
Distinct HCPCS
10
Medicare allowed
$109,661
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,171 | 13 | $0 | |
77063 |
Screening 3d breast mammography | 456 | 456 | $34 | |
77067 |
Screening mammography | 455 | 455 | $59 | |
71045 |
X-ray of chest, 1 view | 261 | 221 | $8 | |
77063 |
Screening 3d breast mammography | 138 | 138 | $28 | |
77067 |
Screening mammography | 137 | 137 | $35 | |
71250 |
Ct scan of chest without contrast | 102 | 100 | $50 | |
71045 |
X-ray of chest, 1 view | 88 | 82 | $8 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 70 | 70 | $9 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 63 | 63 | $16 |
In context: peer comparison
Among 159 peers in Dallas Diagnostic Radiology Physician, average services per provider: 121. This provider delivers 33× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Tiffany Providence's medical specialty?
Dr. Tiffany Providence practices Diagnostic Radiology Physician in Dallas, TX.
Where does Dr. Tiffany Providence practice?
Dr. Tiffany Providence practices at 4055 Valley View Ln Ste 400, Dallas, TX 752445071. Office phone: 4694667420.
What is Dr. Tiffany Providence's NPI?
Dr. Tiffany Providence's National Provider Identifier (NPI) is 1316267404, issued by NPPES.
Does Dr. Tiffany Providence accept Medicare assignment?
Yes. Dr. Tiffany Providence accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tiffany Providence commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Screening 3d breast mammography (HCPCS 77063); Screening mammography (HCPCS 77067). Source: CMS Medicare Physician & Other Practitioners file.