DR. JERRY NEIL TIDWELL OD
NPI 1013986603
Optometrist in Dickson, TN

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
610 HENSLEE DR, DICKSON, TN 37055(615) 446-2020(615) 441-2020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry Neil Tidwell Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY NEIL TIDWELL OD (NPI 1013986603) is an individual optometrist in Dickson, Tennessee, licensed in Tennessee (OD0000000818) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1981).

NPPES Registry Identity

NPI1013986603
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY NEIL TIDWELLCredential: OD
Location Address610 HENSLEE DRDickson, TN 37055-1211
Mailing Address610 Henslee DrDickson, TN 37055-1211 · (615) 446-2020 · Fax (615) 441-2020
Fax(615) 441-2020
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1981
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1013986603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TN · OD0000000818
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

610 HENSLEE DR, Dickson, TN 37055

Other Identifiers 5

Medicaid3595690TN
Other3113993TN · Blue Cross Blue Shield Tn
Medicare UPINT61264TN
Other1250080001TN · Medicare Dmerc
Medicare ID-Type Unspecified3595690TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry Neil Tidwell Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153438643
PECOS Enrollment IDI20111118000454
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
69 services68 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services29 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
610 HENSLEE DR
DICKSON, TN 37055
Optometrist
610 HENSLEE DR
DICKSON, TN 37055
Optometrist
610 HENSLEE DR
DICKSON, TN 37055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Tidwell's NPI number?

The NPI number for Jerry Tidwell is 1013986603. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Jerry Tidwell located?

Jerry Tidwell practices at 610 Henslee Dr, Dickson, TN 37055. The listed phone number is (615) 446-2020.

What is Jerry Tidwell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jerry Tidwell enrolled in Medicare?

Yes. Jerry Tidwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jerry Tidwell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan and 1 other insurer list Jerry Tidwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Tidwell was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.