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LAUREN ELIZABETH TISDALE MD
NPI 1285258913
Dermatology in Johnson City, TN

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
2885 BOONES CREEK RD, JOHNSON CITY, TN 37615(423) 928-9014 Get Directions Write a Review

NPPES record last updated: August 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2024, Jun 2, 2020, May 28, 2020 (3 updates tracked since 2020).

About Lauren Elizabeth Tisdale Md NPPES

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

LAUREN ELIZABETH TISDALE MD (NPI 1285258913) is an individual dermatology provider in Johnson City, Tennessee, licensed in Tennessee (71625) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kingsport, and is a graduate of Virginia Commonwealth University, School Of Medicine (2020).

NPPES Registry Identity

NPI1285258913
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameLAUREN ELIZABETH TISDALECredential: MD
Location Address2885 BOONES CREEK RDJohnson City, TN 37615-8002
Mailing Address2300 W Stone DrKingsport, TN 37660-2360 · (423) 246-4961 · Fax (423) 245-3136
Phone(423) 928-9014
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2020
Enumeration DateMay 28, 2020
Last NPPES UpdateAugust 11, 20243 updates tracked since enumeration
NPPES CertifiedAugust 11, 2024
✔ NPI 1285258913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TN · 71625
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2885 BOONES CREEK RD, Johnson City, TN 37615
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Secondary Practice Location 1

Location 12300 W Stone DrKingsport, TN 37660-2360 · Phone (423) 246-4961

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Lauren Elizabeth Tisdale 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 ID1456769249
PECOS Enrollment IDI20241101000654
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 Reassignment

Medicare enrollment records show Lauren Tisdale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology Associates, P.C.
12 mi
Dermatology
2300 W STONE DR
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 26 clinicians in this Medicare group
NPI 1487695862 (423) 246-4961

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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
165 services41 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
163 services78 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
80 services75 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.
75 services71 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
69 services39 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
57 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

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 Lauren Tisdale's NPI number?

The NPI number for Lauren Tisdale is 1285258913. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Lauren Tisdale located?

Lauren Tisdale practices at 2885 Boones Creek Rd, Johnson City, TN 37615. The listed phone number is (423) 928-9014.

What is Lauren Tisdale's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Lauren Tisdale enrolled in Medicare?

Yes. Lauren Tisdale 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 organization bills Medicare for Lauren Tisdale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Tisdale reassigns Medicare benefits to Dermatology Associates, P.C. (Kingsport, TN). The 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 Lauren Tisdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Tisdale accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Lauren Tisdale 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 Lauren Tisdale was last updated on August 11, 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.