CODY D. TIDWELL MD
NPI 1033672837
Anesthesiology - Pain Medicine in Minneapolis, MN
About Cody D. Tidwell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY D. TIDWELL MD (NPI 1033672837) is an individual pain medicine provider in Minneapolis, Minnesota, licensed in Minnesota (77909) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cody D. Tidwell Md 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.
Medicare Billing Reassignments
8Medicare enrollment records show Cody Tidwell reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 226 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairview Lakes Health Services
Acute Care Hospitals · Wyoming, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Cody Tidwell's NPI number?
The NPI number for Cody Tidwell is 1033672837. It was assigned to this individual provider in the NPPES registry on April 9, 2019.
Where is Cody Tidwell located?
Cody Tidwell practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-4116.
What is Cody Tidwell's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Cody Tidwell enrolled in Medicare?
Yes. Cody 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.
Which organizations bill Medicare for Cody Tidwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cody Tidwell reassigns Medicare benefits to 8 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cody Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cody Tidwell accept?
Health plans from Medica list Cody 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.
Is Cody Tidwell affiliated with any hospitals?
According to CMS data, Cody Tidwell is affiliated with Fairview Lakes Health Services and M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Cody Tidwell was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cody D. Tidwell, MD · NPI 1033672837
Pain Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 9, 2019.
## Identity
- **NPI:** 1033672837 (Entity type: Individual)
- **Enumerated:** April 9, 2019
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **State license:** 77909 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 420 DELAWARE ST SE, Minneapolis, MN 55455-0341
- **Phone:** (612) 625-4116
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033672837) · Data from the CMS NPPES public registry.