DR. CHUCKIA NICOLE BROWN-TISDALE (M.D.) – Internal Medicine Physician, NPI 1306836804
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,262 INTERNAL MEDICINE in MD
Provider Addresses for DR. CHUCKIA NICOLE BROWN-TISDALE (M.D.)
Meritus Medical Center, 11116, Medical Campus Road, Hagerstown, Washington County, Maryland, 21740, United States
HAGERSTOWN, MD 217426710
Phone:
Type: Mailing
11110 Medical Campus Rd
Suite 243
Hagerstown, MD 217426700
Phone: (301) 665-4600
Fax: (301) 665-4601
Type: Location
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 217426755
Phone: (301) 714-4175
Fax: (301) 714-4183
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-01-20
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20060105000599 | I | Internal Medicine | MD | TBD |
| I20210120000420 | I | Internal Medicine | DC | 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 | 215 | 100 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 139 | 86 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 63 | 63 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 46 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 23 | $0 |
Insurance plans in this area (ZIP 21742)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MD | 90670 | Pneumococcal vaccine for injection into muscle | 30 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| H O S P I T A L I S T | PA | |
| - | MD | |
| - | MD | |
| Internal Medicine | MD | |
| - | MD | |
| - | VA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| - | MD |
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