MR. JON THOMAS TISDALE (MSM, PA-C) – Surgical Physician Assistant, NPI 1982930301
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MR. JON THOMAS TISDALE (MSM, PA-C)
3000 EDWARD CURD LN
FRANKLIN, TN 370675791
Phone: (615) 791-2630
Fax: (615) 791-2639
Type: Mailing
PO BOX 210127
NASHVILLE, TN 372210127
Phone: (615) 986-1256
Fax: (615) 383-0853
Type: Mailing
4323 Carothers Pkwy Ste 201
Franklin, TN 370675973
Phone: (615) 791-2630
Fax: (615) 791-2639
Type: Location
201, Carothers Parkway, Franklin, Williamson County, Tennessee, 37067, United States
FRANKLIN, TN 370675973
Phone: (615) 791-2630
Fax: (615) 791-2639
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $158.
Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Intrinsic Therapeutics ($158).
Total Amount
$158
General + Research + Ownership
Payments
5
Total payment records
General Amount
$158
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intrinsic Therapeutics | $158 |
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: 2010-06-01
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 |
|---|---|---|---|---|
| I20100601000666 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 380 | 254 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 373 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 195 | 165 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 106 | 106 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 97 | 75 | $0 |
Insurance plans in this area (ZIP 37067)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TN | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 22 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TN | |
| Physician Assistant | TN | |
| Orthopedic Surgery | TN | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| Physician Assistant | TN | |
| Occupational Therapist In Private Practice | GA | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| Physical Therapist In Private Practice | TN |
Reviews
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