AUSTIN TIDWELL
NPI 1366862690
Hospitalist in Johnson City, NY
About Austin Tidwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUSTIN TIDWELL (NPI 1366862690) is an individual hospitalist provider in Johnson City, New York, licensed in California (14843) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 3
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
Austin Tidwell 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
JOHNSON CITY, NY 13790
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 Austin Tidwell's NPI number?
The NPI number for Austin Tidwell is 1366862690. It was assigned to this individual provider in the NPPES registry on April 25, 2014.
Where is Austin Tidwell located?
Austin Tidwell practices at 33-57 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 763-6674.
What is Austin Tidwell's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Austin Tidwell enrolled in Medicare?
Yes. Austin 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.
When was this NPI record last updated?
The NPPES record for Austin Tidwell was last updated on May 25, 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.
# Austin Tidwell · NPI 1366862690
Hospitalist physician in Johnson City, New York. Individual provider, active in the CMS NPPES registry since April 25, 2014.
## Identity
- **NPI:** 1366862690 (Entity type: Individual)
- **Enumerated:** April 25, 2014
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 14843 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 33-57 HARRISON ST, Johnson City, NY 13790-2107
- **Phone:** (607) 763-6674
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2014
## Record status
- **NPPES last updated:** May 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366862690) · Data from the CMS NPPES public registry.