TRAVIS TIDWELL (DPM) – Podiatrist, NPI 1043627292
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
216 PODIATRY in IA
Provider Addresses for TRAVIS TIDWELL (DPM)
912 CHERRYWOOD DR
CEDAR FALLS, IA 506131612
Phone: (319) 230-7553
Type: Mailing
2710 SAINT FRANCIS DR STE 510
WATERLOO, IA 507025620
Phone: (319) 272-5000
Fax: (319) 272-5236
Type: Location
754 S MAIN ST
ST GEORGE, UT 847705504
Phone: (435) 628-2671
Fax: (435) 674-1601
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $16,168.
Total Amount is formed as General ($16,168) + Research ($0) + Ownership ($0) = $16,168.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: International Life Sciences ($10,119).
Total Amount
$16,168
General + Research + Ownership
Payments
43
Total payment records
General Amount
$16,168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| International Life Sciences | $10,119 |
| Stryker Corporation | $6,049 |
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: 2022-05-20
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 |
|---|---|---|---|---|
| I20220520002322 | I | Podiatry | UT | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 473 | 168 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 341 | 215 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 138 | 138 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 118 | 68 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 111 | 34 | $0 |
Insurance plans in this area (ZIP 50613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | UT | |
| - | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | OR | |
| P O D I A T R Y | TN | |
| P O D I A T R Y | UT | |
| - | UT | |
| - | UT | |
| P O D I A T R Y | NM | |
| P O D I A T R Y | UT |
Reviews
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