Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHAD TIDWELL DO
NPI 1396366720
Internal Medicine - Pulmonary Disease in Greeley, CO

Q: What is Chad Tidwell's NPI number?

The NPI number for Chad Tidwell is 1396366720. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Q: What is Chad Tidwell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Chad Tidwell was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since April 27, 2020PECOS EnrolledAccepts Medicare Assignment

6767 29TH ST FL 2, GREELEY, CO 80634(970) 224-9102(970) 224-9112 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chad Tidwell Do NPPES

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

CHAD TIDWELL DO (NPI 1396366720) is an individual pulmonary disease provider in Greeley, Colorado, licensed in Colorado (DR.0077264) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Detroit Receiving Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2020).

NPPES Registry Identity

NPI1396366720

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameCHAD TIDWELLCredential: DO

Location Address6767 29TH ST FL 2Greeley, CO 80634-5474

Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4439

Phone(970) 224-9102

Fax(970) 224-9112

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2020

Enumeration DateApril 27, 2020

Last NPPES UpdateJuly 22, 2026

NPPES CertifiedJuly 22, 2026

✔ NPI 1396366720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in CO · DR.0077264

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6767 29TH ST FL 2, Greeley, CO 80634

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Chad Tidwell Do 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 ID5193147361

PECOS Enrollment IDI20240909002885

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.

Hospital Affiliations CMS Care Compare

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

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230273

Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80634 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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.

DR. JOHN PAUL BERGER D.O.

Internal Medicine (Pulmonary Disease)