DR. PAT THOMAS TIDWELL (M.D.) – Family Medicine Physician, NPI 1184758526

DR. PAT THOMAS TIDWELL (M.D.) is a healthcare provider. based in Niceville, Florida. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. ME30890 (FL). The NPI Number for DR. PAT THOMAS TIDWELL (M.D.) is 1184758526

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAT THOMAS TIDWELL (M.D.)
NPI
1184758526
Phone
(850) 897-3678
Address
4400 E HIGHWAY 20 STE 203
Enumeration Date
16 March 2007
Last Update Date
23 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8508973678
Graduation Year
1974 (52 years ago)
PAC ID
6002077047
Group Practice PAC ID
0143379537
Professional Enrollment ID
I20120418000332
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. PAT THOMAS TIDWELL (M.D.)

  • 4400 E HIGHWAY 20 STE 203

    NICEVILLE, FL 325787700

    Phone: (850) 897-3678

    Fax: (850) 373-4544

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $358.

Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($125).

Total Amount

$358

General + Research + Ownership

Payments

3

Total payment records

General Amount

$358

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32578)

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Provider's Procedures

DR. PAT THOMAS TIDWELL (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL85610Blood test, clotting time7911

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143379537View full group profile
NameSpecialtyState
-FL

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Frequently asked questions

Is DR. PAT THOMAS TIDWELL (M.D.) listed with a National Provider Identifier?
Yes — DR. PAT THOMAS TIDWELL (M.D.) has NPI 1184758526 on file in the registry.
Active or inactive — what applies to DR. PAT THOMAS TIDWELL (M.D.)?
You should see DR. PAT THOMAS TIDWELL (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. PAT THOMAS TIDWELL (M.D.)?
DR. PAT THOMAS TIDWELL (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. PAT THOMAS TIDWELL (M.D.) associated with Niceville?
Public fields place DR. PAT THOMAS TIDWELL (M.D.) around Niceville, Florida. Always confirm the exact site before visiting.
Does DR. PAT THOMAS TIDWELL (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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