DR. TYSON JENSEN TIDWELL D.O.
NPI 1215347463
Pediatrics in Heber City, UT
About Dr. Tyson Jensen Tidwell D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYSON JENSEN TIDWELL D.O. (NPI 1215347463) is an individual pediatrics provider in Heber City, Utah, licensed in Utah (11271416-1204) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2014).
NPPES Registry Identity
Specialties & Licenses 2
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. Tyson Jensen Tidwell D.o. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HEBER CITY, UT 84032
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 Tyson Tidwell's NPI number?
The NPI number for Tyson Tidwell is 1215347463. It was assigned to this individual provider in the NPPES registry on April 28, 2014.
Where is Tyson Tidwell located?
Tyson Tidwell practices at 454 E Medical Way, Heber City, UT 84032. The listed phone number is (435) 657-4400.
What is Tyson Tidwell's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Tyson Tidwell enrolled in Medicare?
Yes. Tyson 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 Tyson Tidwell accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company, Select Health and Sendero Health Plans, Local Nonprofit and 1 other insurer list Tyson 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 Tyson Tidwell was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Tyson Jensen Tidwell, D.O. · NPI 1215347463
Pediatrics physician in Heber City, Utah. Individual provider, active in the CMS NPPES registry since April 28, 2014.
## Identity
- **NPI:** 1215347463 (Entity type: Individual)
- **Enumerated:** April 28, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 11271416-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 454 E MEDICAL WAY, Heber City, UT 84032-1391
- **Phone:** (435) 657-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Arizona College Of Osteopathic Medicine Mid Western University, class of 2014
## Record status
- **NPPES last updated:** April 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215347463) · Data from the CMS NPPES public registry.