DR. RICHARD H TIDWELL (MD) – Family Medicine Physician, NPI 1346208725

DR. RICHARD H TIDWELL (MD) is a healthcare provider. based in Jay, Oklahoma. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 18708 (OK). The NPI Number for DR. RICHARD H TIDWELL (MD) is 1346208725

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD H TIDWELL (MD)
NPI
1346208725
Phone
(918) 253-2550
Address
PO BOX 987
Enumeration Date
3 May 2006
Last Update Date
20 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9182578029
Graduation Year
1991 (35 years ago)
PAC ID
7315917648
Group Practice PAC ID
9133352081
Professional Enrollment ID
I20130222000214
Address ID
OK743690001WE343XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for DR. RICHARD H TIDWELL (MD)

  • PO BOX 987

    2485 N MAIN ST

    JAY, OK 743460987

    Phone: (918) 253-2550

    Fax: (918) 253-2122

    Type: Mailing

  • 2485, North Main Street, Jay, Delaware County, Oklahoma, 74346, United States

    JAY, OK 743460987

    Phone: (918) 253-2550

    Fax: (918) 253-2122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,045.

Total Amount is formed as General ($1,045) + Research ($0) + Ownership ($0) = $1,045.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lundbeck LLC ($348).

Total Amount

$1,045

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,045

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

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: 2004-07-26

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
I20040726001358IFamily PracticeOKTBD

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
36415Insertion of needle into vein for collection of blood sample3229$0
81003Automated urinalysis test2016$0
View full utilization report →

Insurance plans in this area (ZIP 74346)

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Provider's Procedures

DR. RICHARD H TIDWELL (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK20610Aspiration and/or injection of large joint or joint capsule3118
FAMILY MEDICINEOK90670Pneumococcal vaccine for injection into muscle5353

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: 9133352081View full group profile

Reviews

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Frequently asked questions

Does DR. RICHARD H TIDWELL (MD) have a public NPI I can cite?
Public records show DR. RICHARD H TIDWELL (MD) under NPI 1346208725.
Is DR. RICHARD H TIDWELL (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. RICHARD H TIDWELL (MD) as active.
What does the directory say DR. RICHARD H TIDWELL (MD) does?
Insurance directories may phrase it differently, but here DR. RICHARD H TIDWELL (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. RICHARD H TIDWELL (MD)?
The directory associates DR. RICHARD H TIDWELL (MD) with Jay, Oklahoma. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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