TYLER TIDWELL (DPM) – Podiatrist, NPI 1629462635
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 PODIATRY in KY
Provider Addresses for TYLER TIDWELL (DPM)
1300 Merritt Dr
Henderson, KY 424202788
Phone: (270) 827-0064
Fax: (270) 826-3338
Type: Location
PO BOX 1510
EVANSVILLE, IN 477061510
Phone: (812) 450-6815
Fax: (812) 450-6822
Type: Mailing
4233 GATEWAY BLVD
NEWBURGH, IN 476308900
Phone: (812) 858-5786
Fax: (812) 490-4512
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,452.
Total Amount is formed as General ($1,452) + Research ($0) + Ownership ($0) = $1,452.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Organogenesis Inc. ($466).
Total Amount
$1,452
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $466 |
| TREACE MEDICAL CONCEPTS, INC. | $392 |
| Nevro Corp. | $150 |
| Smith+Nephew, Inc. | $113 |
| Stryker Corporation | $101 |
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: 2019-12-11
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 |
|---|---|---|---|---|
| I20190620001334 | I | Podiatry | IN | TBD |
| I20191211000997 | I | Podiatry | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 661 | 311 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 284 | 89 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 238 | 238 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 167 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 147 | 114 | $0 |
Insurance plans in this area (ZIP 42420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Family Practice | MI | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | TN | |
| Nurse Practitioner | IN | |
| - | KY | |
| Physician Assistant | OH | |
| Internal Medicine, Geriatric Medicine | IN |
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