STEPHEN TIDWELL (D.O.) – Emergency Medicine Physician, NPI 1750679072
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for STEPHEN TIDWELL (D.O.)
4401 S WESTERN AVE
OKLAHOMA CITY, OK 731093413
Phone:
Type: Mailing
1000 S COULTER ST
AMARILLO, TX 791061781
Phone: (806) 212-4700
Fax: (806) 212-4730
Type: Location
PO BOX 840026
DALLAS, TX 752840026
Phone: (806) 212-5079
Fax: (806) 212-6278
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $426.
Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($169).
Total Amount
$426
General + Research + Ownership
Payments
21
Total payment records
General Amount
$426
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TACTILE SYSTEMS TECHNOLOGY INC | $169 |
| Melinta Therapeutics, LLC | $66 |
| Smith+Nephew, Inc. | $57 |
| Solventum Corporation | $51 |
| MIMEDX Group, Inc. | $44 |
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: 2014-08-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140827001926 | I | Emergency Medicine | TX | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 524 | 121 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 442 | 116 | $0 |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 251 | 25 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 204 | 28 | $0 |
| 99183 | Management of oxygen chamber therapy | 134 | 21 | $0 |
Insurance plans in this area (ZIP 73109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| General Practice, Undersea And Hyperbaric Medicine | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| - | TX | |
| H O S P I T A L I S T | OR | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX |
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