JOHN EDWARD TIDWELL (MD) – Orthopaedic Trauma Physician, NPI 1184885519
Orthopaedic Trauma Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
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Provider Addresses for JOHN EDWARD TIDWELL (MD)
2625, Divisadero Street, Fresno, Fresno County, California, 93721, United States
FRESNO, CA 937211431
Phone: (559) 443-2682
Fax: (559) 443-2681
Type: Mailing
729, Medical Center Drive West, Clovis, Fresno County, California, 93611, United States
SUITE 111
CLOVIS, CA 936116879
Phone: (559) 320-0531
Fax: (559) 320-0539
Type: Location
3126 N Civic Center Plz
Scottsdale, AZ 852516912
Phone: (480) 874-2040
Fax: (480) 874-2041
Type: Location
10240 W Indian School Rd Ste 115
Phoenix, AZ 850375905
Phone: (480) 874-2040
Fax: (480) 874-2041
Type: Location
702 E BELL RD STE 117
PHOENIX, AZ 850226648
Phone: (480) 874-2040
Fax: (480) 874-2041
Type: Location
3126 N CIVIC CENTER PLZ
SCOTTSDALE, AZ 852516912
Phone: (480) 874-2040
Fax: (480) 874-2041
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $2,109.
Total Amount is formed as General ($2,109) + Research ($0) + Ownership ($0) = $2,109.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Stryker Corporation ($988).
Total Amount
$2,109
General + Research + Ownership
Payments
18
Total payment records
General Amount
$2,109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $988 |
| DePuy Synthes Sales Inc. | $684 |
| Smith+Nephew, Inc. | $238 |
| Skeletal Dynamics Inc | $115 |
| OsteoCentric Technologies, Inc. | $84 |
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: 2019-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150904001772 | I | Orthopedic Surgery | CA | TBD |
| I20190807000357 | I | Orthopedic Surgery | AZ | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 42 | 42 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 21 | 21 | $0 |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 15 | 15 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 93721)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AZ | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | NM | |
| Physician Assistant | AZ | |
| Orthopedic Surgery | AZ | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| - | FL |
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