MARK A TIDSWELL (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1699722066

MARK A TIDSWELL (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. 161219 (MA). The NPI Number for MARK A TIDSWELL (MD) is 1699722066

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MARK A TIDSWELL (MD)
NPI
1699722066
Phone
(413) 794-5700
Address
280 CHESTNUT STREET
Enumeration Date
30 May 2006
Last Update Date
1 April 2011

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4137948121
Graduation Year
1987 (39 years ago)
PAC ID
9032250691
Group Practice PAC ID
5991602971
Professional Enrollment ID
I20100105000647
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARK A TIDSWELL (MD)

  • 280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States

    2ND FLOOR

    SPRINGFIELD, MA 01199

    Phone: (413) 794-5700

    Type: Mailing

  • Baystate Medical Center, 759, Chestnut Street, North End, Springfield, Hampden County, Massachusetts, 01199, United States

    S2668

    SPRINGFIELD, MA 01199

    Phone: (413) 794-5439

    Fax: (413) 794-5389

    Type: Location

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 $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-02-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($86).

Total Amount

$159

General + Research + Ownership

Payments

2

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-10

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: 2010-01-05

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
I20100105000647ICritical Care (Intensivists)MATBD

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
99291Critical care, first 30-74 minutes10974$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3226$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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Provider's Procedures

MARK A TIDSWELL (MD) performs procedures in Critical Care Medicine (Internal Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)MA36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1716

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: 5991602971View full group profile

Reviews

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Frequently asked questions

Where can patients find MARK A TIDSWELL (MD)'s NPI?
You can confirm MARK A TIDSWELL (MD) with NPI 1699722066; it appears in the national provider directory.
Is MARK A TIDSWELL (MD) active in the national directory?
MARK A TIDSWELL (MD)'s public NPI profile is in an active state.
Does MARK A TIDSWELL (MD) list a primary specialty?
If you are matching referrals, note Critical Care Medicine (Internal Medicine) Physician for MARK A TIDSWELL (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK A TIDSWELL (MD)?
The page summarizes Springfield, Massachusetts for MARK A TIDSWELL (MD); expand the address list for detail.
What if Springfield, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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