CATHERINE M TISDALL (MD) – Dermatology Physician, NPI 1871556506

CATHERINE M TISDALL (MD) is a healthcare provider. based in San antonio, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. M5220 (TX). The NPI Number for CATHERINE M TISDALL (MD) is 1871556506

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE M TISDALL (MD)
NPI
1871556506
Phone
(210) 615-7171
Address
8431 FREDERICKSBURG RD
Enumeration Date
12 April 2006
Last Update Date
27 October 2009

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2106157171
Graduation Year
2002 (24 years ago)
PAC ID
4587672134
Group Practice PAC ID
6800837659
Professional Enrollment ID
I20070227000037
Address ID
TX782492380SA16110SHAV300
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

1,284 DERMATOLOGY in TX

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Provider Addresses for CATHERINE M TISDALL (MD)

  • 8431, Fredericksburg Road, San Antonio, Bexar County, Texas, 78229, United States

    #100

    SAN ANTONIO, TX 782293392

    Phone: (210) 615-7171

    Fax: (210) 615-6793

    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 197 Open Payments records for all available years, with a total value of $4,600.

Total Amount is formed as General ($4,600) + Research ($0) + Ownership ($0) = $4,600.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($962).

Total Amount

$4,600

General + Research + Ownership

Payments

197

Total payment records

General Amount

$4,600

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2007-02-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070227000037IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths703137$0
99214Established patient office or other outpatient visit, 30-39 minutes400315$0
17000Destruction of precancer skin growth, 1 growth230181$0
17110Destruction of skin growth, 1-14 growths216181$0
11102Biopsy of related skin growth, first growth194160$0
View full utilization report →

Insurance plans in this area (ZIP 78229)

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Provider's Procedures

CATHERINE M TISDALL (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX17003Destruction of 2-14 skin growths1687267

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: 6800837659View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
-WA
Physician AssistantTX
Pathology, DermatologyTX
D E R M A T O L O G YTX
Physician AssistantTX
D E R M A T O L O G YTX
Family Practice, DermatologyTX
D E R M A T O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

What federal number belongs to CATHERINE M TISDALL (MD)?
The federal identifier for CATHERINE M TISDALL (MD) is NPI 1871556506.
Is CATHERINE M TISDALL (MD)'s NPI currently valid?
The extract we use shows CATHERINE M TISDALL (MD) as active.
Does CATHERINE M TISDALL (MD) list a primary specialty?
If you are matching referrals, note Dermatology Physician for CATHERINE M TISDALL (MD). Clinical services aligned with this taxonomy classification.
What location shows for CATHERINE M TISDALL (MD)?
We surface San Antonio, Texas for CATHERINE M TISDALL (MD) based on available NPPES addresses.
How can I contact CATHERINE M TISDALL (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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