LAUREN BLAIR TIDWELL (PA-C) – Medical Physician Assistant, NPI 1497204002
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for LAUREN BLAIR TIDWELL (PA-C)
2317 MEMORIAL PKWY SW STE 300
HUNTSVILLE, AL 358015623
Phone: (256) 881-4112
Type: Mailing
1600 Browns Ferry Rd
Madison, AL 357589601
Phone: (256) 461-7272
Type: Location
104 Spenryn Dr
Madison, AL 357581890
Phone: (256) 772-4300
Type: Location
117, Clubhouse Lane, Madison County, Alabama, 35757, United States
MADISON, AL 357576934
Phone: (256) 426-0683
Type: Mailing
104, Spenryn Drive, Madison, Madison County, Alabama, 35758, United States
MADISON, AL 357581890
Phone: (256) 772-4300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 250 Open Payments records for all available years, with a total value of $3,938.
Total Amount is formed as General ($3,938) + Research ($0) + Ownership ($0) = $3,938.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($896).
Total Amount
$3,938
General + Research + Ownership
Payments
250
Total payment records
General Amount
$3,938
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $896 |
| Novartis Pharmaceuticals Corporation | $657 |
| PFIZER INC. | $208 |
| ARGENX US, INC. | $150 |
| Lilly USA, LLC | $138 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190903000716 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96116 | Exam of neurobehavioral status, first hour | 260 | 256 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 133 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 47 | 46 | $0 |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 35801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WV | |
| N E U R O L O G Y | AL | |
| Nurse Practitioner | AL | |
| N E U R O L O G Y | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| N E U R O L O G Y | AL | |
| N E U R O L O G Y | AL | |
| Nurse Practitioner | AL | |
| N E U R O L O G Y | AL |
Reviews
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