DOUGLAS TISDALE (M.D.) – Hematology & Oncology Physician, NPI 1316920416

DOUGLAS TISDALE (M.D.) is a healthcare provider. based in Burlington, Massachusetts. specializing in MEDICAL ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 13131 (NH). The NPI Number for DOUGLAS TISDALE (M.D.) is 1316920416

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS TISDALE (M.D.)
NPI
1316920416
Phone
(781) 744-8400
Address
41 MALL RD LAHEY HOSPITAL AND MEDICAL CENTER
Enumeration Date
22 November 2005
Last Update Date
13 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784631374
Graduation Year
1986 (40 years ago)
PAC ID
7113938549
Group Practice PAC ID
6305749987
Professional Enrollment ID
I20060519000084
Address ID
MA019503876NE1XXXXWAYX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

457 MEDICAL ONCOLOGY in MA

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Provider Addresses for DOUGLAS TISDALE (M.D.)

  • Lahey Hospital & Medical Center, 41, Burlington Mall Road, Burlington, Middlesex County, Massachusetts, 01805, United States

    BURLINGTON, MA 018053648

    Phone: (781) 744-8400

    Fax: (781) 744-5245

    Type: Location

  • PO BOX 808

    NASHUA, NH 030610808

    Phone: (603) 578-5054

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($29).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-05-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060519000084IMedical OncologyMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13291$0
36415Insertion of needle into vein for collection of blood sample7848$0
99213Established patient office or other outpatient visit, 20-29 minutes6045$0
99215Established patient office or other outpatient visit, 40-54 minutes5641$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count5237$0
View full utilization report →

Insurance plans in this area (ZIP 01805)

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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: 6305749987View full group profile
NameSpecialtyState
Physician AssistantMA
-VA
Hospice/Palliative CareIL
A N E S T H E S I O L O G YMA
Internal MedicineMA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)TN
-MA
Emergency MedicineNC

Reviews

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Frequently asked questions

How is DOUGLAS TISDALE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DOUGLAS TISDALE (M.D.) with NPI 1316920416.
Is DOUGLAS TISDALE (M.D.) still practicing?
DOUGLAS TISDALE (M.D.) is currently listed as active in the public NPI registry.
What is DOUGLAS TISDALE (M.D.)'s specialty?
The listing groups DOUGLAS TISDALE (M.D.) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What area does DOUGLAS TISDALE (M.D.) serve?
DOUGLAS TISDALE (M.D.)'s listing highlights Burlington, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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