TAYLOR REED TIDMORE (MD) – Otolaryngology Physician, NPI 1699879874

TAYLOR REED TIDMORE (MD) is a healthcare provider. based in Abilene, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. T2003013847 (MO). The NPI Number for TAYLOR REED TIDMORE (MD) is 1699879874

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR REED TIDMORE (MD)
NPI
1699879874
Phone
(325) 437-3687
Address
1233 N 18TH ST
Enumeration Date
11 September 2006
Last Update Date
13 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
3254373687
Graduation Year
2003 (23 years ago)
PAC ID
4587736459
Group Practice PAC ID
9739162181
Professional Enrollment ID
I20080709000540
Address ID
TX796012932AB1233XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

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Provider Addresses for TAYLOR REED TIDMORE (MD)

  • 1233, North 18th Street, Abilene, Taylor County, Texas, 79601, United States

    ABILENE, TX 796012932

    Phone: (325) 437-3687

    Fax: (325) 437-1827

    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 3 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Acclarent, Inc ($39).

Total Amount

$89

General + Research + Ownership

Payments

3

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

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: 2008-07-09

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
I20080709000540IOtolaryngologyTXTBD

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
95165Professional service for preparation and provision of 1 or more antigens1,36724$0
95004Test for allergy using allergenic extract53011$0
95117Professional service for multiple injections of allergen41021$0
95024Test for allergy using allergenic extract injected into skin28811$0
99213Established patient office or other outpatient visit, 20-29 minutes247189$0
View full utilization report →

Insurance plans in this area (ZIP 79601)

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Provider's Procedures

TAYLOR REED TIDMORE (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYTX92567Eardrum testing using ear probe5147
OTOLARYNGOLOGYTX95117Injection of incremental dosages of allergen, 2 or more injections43276

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: 9739162181View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineTX
U R O L O G YTX
Orthopedic SurgeryTX
Nurse PractitionerTX
Cardiac Surgery, Thoracic SurgeryTX
-TX
Physical Therapist In Private PracticeTX
Pulmonary DiseaseTX
Nurse PractitionerTX
H E M A T O L O G Y/ O N C O L O G YTX

Reviews

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Frequently asked questions

What is the registry number for TAYLOR REED TIDMORE (MD)?
The registry entry for TAYLOR REED TIDMORE (MD) shows NPI 1699879874.
Quick check: is TAYLOR REED TIDMORE (MD) active?
Public NPPES data shows TAYLOR REED TIDMORE (MD) with an active NPI status right now.
What type of care does TAYLOR REED TIDMORE (MD) provide?
TAYLOR REED TIDMORE (MD)'s profile centers on Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to TAYLOR REED TIDMORE (MD)?
TAYLOR REED TIDMORE (MD) shows a connection to Abilene, Texas in registry-derived data.
Can I export TAYLOR REED TIDMORE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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