DR. TIRSO J ALDANA M.D.
NPI 1356305684
Internal Medicine in Poplar Bluff, MO

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
92.43/100
CMS Quality Rating
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901(573) 776-9290(573) 776-2379 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tirso J Aldana M.d. NPPES

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

DR. TIRSO J ALDANA M.D. (NPI 1356305684) is an individual internal medicine provider in Poplar Bluff, Missouri, licensed in Missouri (118197) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Madison Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1356305684
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TIRSO J ALDANACredential: M.D.
Location Address3100 OAK GROVE RDPoplar Bluff, MO 63901-1573
Mailing AddressPo Box 4028Poplar Bluff, MO 63902-4028 · (573) 718-3141 · Fax (573) 776-1011
Fax(573) 776-2379
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateApril 13, 2006
Last NPPES UpdateSeptember 30, 2016
✔ NPI 1356305684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 118197
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3100 OAK GROVE RD, Poplar Bluff, MO 63901

Other Identifiers 1

Medicare UPINH06808

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

Dr. Tirso J Aldana M.d. 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 ID9931136215
PECOS Enrollment IDI20050719000247
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

6

Medicare enrollment records show Tirso Aldana reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3100 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
Emergency Medicine
1008 N MAIN ST
Sikeston, MO 63801
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group
Critical Access
611 W MAIN ST
Fredericktown, MO 63645
  • Reassigned Medicare billing, Missouri enrollment
  • 34 clinicians in this Medicare group
Rural Health
301 N HIGHWAY 21
Pilot Knob, MO 63663
  • Reassigned Medicare billing, Missouri enrollment
  • 53 clinicians in this Medicare group
Emergency Medicine
300 HEALTH WAY DR
Potosi, MO 63664
  • Reassigned Medicare billing, Missouri enrollment
  • 60 clinicians in this Medicare group
Nephrology
2651 SHELBY ROAD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 15 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
72 services67 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services41 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
43 services41 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Madison Medical Center

Critical Access Hospitals · Fredericktown, MO
OwnershipVoluntary non-profit - Other
CMS Certification Number261302
Location611 W Main StFredericktown, MO 63645 · Madison County
Emergency services

Washington County Memorial Hospital

Critical Access Hospitals · Potosi, MO
OwnershipGovernment - Local
CMS Certification Number261308
Location300 Health WayPotosi, MO 63664 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare 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.

92.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.47
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Internal Medicine (Interventional Cardiology)
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Otolaryngology
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Clinical Medical Laboratory
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Nurse Practitioner
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Occupational Therapist
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Family Medicine
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Student in an Organized Health Care Education/Training Program
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901

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 Tirso Aldana's NPI number?

The NPI number for Tirso Aldana is 1356305684. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Tirso Aldana located?

Tirso Aldana practices at 3100 Oak Grove Rd, Poplar Bluff, MO 63901. The listed phone number is (573) 776-9290.

What is Tirso Aldana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tirso Aldana enrolled in Medicare?

Yes. Tirso Aldana 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 Tirso Aldana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tirso Aldana reassigns Medicare benefits to 6 organizations: Butler Physician Services, LLC (Poplar Bluff, MO), Sikeston Emergency Group LLC (Sikeston, MO), Madison Medical Center Stockhoff Memorial Nursing Home (Fredericktown, MO), Iron County Hospital District (Pilot Knob, MO), Potosi Emergency Group, LLC (Potosi, MO) and 1 more organization, 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 Tirso Aldana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tirso Aldana affiliated with any hospitals?

According to CMS data, Tirso Aldana is affiliated with Madison Medical Center and Washington County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tirso Aldana was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.