Tiffany Kelly Disanzo
NPI 1043917354ActiveIndividual· Physician Assistant, Surgical· Raleigh, NC
Physician Assistant, Surgical with Wakemed Specialists Group LLC, practicing in Raleigh, North Carolina. 20 Medicare patients in 2024, $2,302 paid; nearly all of their 54 Part D prescriptions were generic (94%). Vericel Corporation reported $34.59 in payments in 2025, mostly food and beverage. Lists Wakemed, Cary Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1043917354 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 8, 2023 |
| Last updated in NPPES | Sep 12, 2023 |
| Certified by provider | Sep 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 0010-13523 | NC |
| Physician Assistant | 363A00000X | 0010-13523 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 31 across 17 procedure codes |
| Paid by Medicare | $2,302 |
Part D prescriptions in 2024
| Prescriptions (claims) | 54 · 54 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $1,716 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Wakemed Specialists Group LLCCary, NC · 876 clinicians
Hospital affiliations
- Wakemed, Cary HospitalCary, NC
- Wakemed, Raleigh CampusRaleigh, NC
Industry payments (Open Payments)
- 2025$34.59 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vericel Corporation | $34.59 | 1 |
What the 2025 payments were for
- Food and Beverage$34.59 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 91 surgical physician assistants in Raleigh · All surgical physician assistants in North Carolina