Skip to content

Tara Rexanne Ennis, MD

NPI 1700961141ActiveIndividual· Surgery· Fort Walton Beach, FL

Surgery (MD) in Fort Walton Beach, Florida, trained at University of Alabama School of Medicine (class of 2005). In 2024 Medicare paid $88,357 for 240 patients, and Part D covered 257 of their prescriptions, 81% of them generic. Ethicon US, LLC reported $37.01 in payments in 2025, mostly food and beverage.

Overview

NPI1700961141
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorYes
NPI issuedOct 26, 2006
Last updated in NPPESJul 7, 2021
Certified by providerJul 7, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000XME121048FL
Specialist174400000X28214AL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - General Surgery (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients240
Services billed543 across 81 procedure codes
Paid by Medicare$88,357

Part D prescriptions in 2024

Prescriptions (claims)257 · 285 30-day fills
Patients135
Total drug cost$10,141
Generic share81% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Alabama School of Medicine
Graduation year2005
Medicare specialtyGeneral Surgery

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$37.01 · 2 payments from 1 company
  • 2024$17.40 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Ethicon US, LLC$37.012

What the 2025 payments were for

  • Food and Beverage$37.01 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Surgery providers in Fort Walton Beach

All Surgery providers in Florida →