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JOHN EDWARD TIDWELL MD
NPI 1184885519
Orthopaedic Surgery - Orthopaedic Trauma in Phoenix, AZ

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
702 E BELL RD STE 117, PHOENIX, AZ 85022(480) 874-2040(480) 874-2041 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Edward Tidwell Md NPPES

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

JOHN EDWARD TIDWELL MD (NPI 1184885519) is an individual orthopaedic trauma provider in Phoenix, Arizona, licensed in Arizona (58407) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical College Of Georgia School Of Medicine (2008).

NPPES Registry Identity

NPI1184885519
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameJOHN EDWARD TIDWELLCredential: MD
Location Address702 E BELL RD STE 117Phoenix, AZ 85022-6648
Mailing Address3126 N Civic Center PlzScottsdale, AZ 85251-6912 · (480) 874-2040 · Fax (480) 874-2041
Phone(480) 874-2040
Fax(480) 874-2041
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2008
Enumeration DateJune 18, 2008
Last NPPES UpdateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1184885519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in AZ · 58407
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 58407 (AZ)
702 E BELL RD STE 117, Phoenix, AZ 85022
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Secondary Practice Locations 2

Location 110240 W Indian School Rd Ste 115Phoenix, AZ 85037-5905 · Phone (480) 874-2040 · Fax (480) 874-2041
Location 23126 N Civic Center PlzScottsdale, AZ 85251-6912 · Phone (480) 874-2040 · Fax (480) 874-2041

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..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

John Edward 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.

PECOS PAC ID3971640897
PECOS Enrollment IDI20190807000357
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.

Medicare Billing Reassignments

4

Medicare enrollment records show John Tidwell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Physician Specialists Arizona LLC
11 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 538 clinicians in this Medicare group
NPI 1033730429 (602) 747-4000
District Medical Group, Inc
13 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095
Sonoran Orthopaedic Trauma Surgeons
13 mi
Orthopaedic Trauma
3501 N SCOTTSDALE RD STE 136
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Arizona enrollment
  • 31 clinicians in this Medicare group
NPI 1952357022 (480) 874-2040
Kern County Hospital Authority
412 mi
General Acute Care Hospital
1700 MOUNT VERNON AVENUE
Bakersfield, CA 93306
  • Reassigned Medicare billing, California enrollment
  • 532 clinicians in this Medicare group
NPI 1376623538 (661) 326-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services19 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
16 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
13 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

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 John Tidwell's NPI number?

The NPI number for John Tidwell is 1184885519. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is John Tidwell located?

John Tidwell practices at 702 E Bell Rd Ste 117, Phoenix, AZ 85022. The listed phone number is (480) 874-2040.

What is John Tidwell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is John Tidwell enrolled in Medicare?

Yes. John 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 John Tidwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Tidwell reassigns Medicare benefits to 4 organizations: Banner Physician Specialists Arizona LLC (Phoenix, AZ), District Medical Group, Inc (Phoenix, AZ), Sonoran Orthopaedic Trauma Surgeons (Scottsdale, AZ) and Kern County Hospital Authority (Bakersfield, CA). 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 John Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Tidwell accept?

Health plans from Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list John 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 John Tidwell was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.