DR. BRETT BIENVILLE TISDALE (M.D.) – Emergency Medicine Physician, NPI 1699754572
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
590 EMERGENCY MEDICINE in MS
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Provider Addresses for DR. BRETT BIENVILLE TISDALE (M.D.)
1017, Delaware Avenue, McComb, Pike County, Mississippi, 39648, United States
MCCOMB, MS 396483827
Phone: (601) 250-1122
Fax: (601) 250-0290
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Lilly USA, LLC ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $13 |
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: 2009-06-23
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20090623000239 | I | Emergency Medicine | MS | 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 |
|---|---|---|---|---|
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1,126 | 246 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 813 | 643 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 397 | 323 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 281 | 260 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 271 | 135 | $0 |
Insurance plans in this area (ZIP 39648)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Emergency Medicine | MS | |
| Emergency Medicine | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Emergency Medicine, Family Practice | MS | |
| Nurse Practitioner | MS |
Reviews
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