BRETT R TIDWELL DO
NPI 1417210352
Obstetrics & Gynecology in Santa Rosa Beach, FL

Active since June 15, 2012PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
27 MACK BAYOU LOOP, STE 2000, SANTA ROSA BEACH, FL 32459(850) 267-2961(850) 622-5634 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brett R Tidwell Do NPPES

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

BRETT R TIDWELL DO (NPI 1417210352) is an individual obstetrics & gynecology provider in Santa Rosa Beach, Florida, licensed in Florida (OS13152) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417210352
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRETT R TIDWELLCredential: DO
Location Address27 MACK BAYOU LOOP, STE 2000Santa Rosa Beach, FL 32459-2613
Mailing AddressPo Box 2699, Attn: Shmg/hpePensacola, FL 32513-2699 · (850) 267-2961 · Fax (850) 622-5634
Fax(850) 622-5634
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 15, 2012
Last NPPES UpdateMarch 14, 2016
NPI 1417210352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in FL · OS13152
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

27 MACK BAYOU LOOP, Santa Rosa Beach, FL 32459

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

Brett R 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 ID8729372909
PECOS Enrollment IDI20160810002693
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 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.
16 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32459 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality81.68
Promoting Interoperability100
Improvement Activities40

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 78% 73
Cervical Cancer Screening 86% 244
Colorectal Cancer Screening 59% 105
Controlling High Blood Pressure 60% 35
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 48% 259
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 40% 378
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93% 250
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94% 250

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
27 MACK BAYOU LOOP, SUITE 1000
SANTA ROSA BEACH, FL 32459
Internal Medicine (Hematology & Oncology)
27 MACK BAYOU LOOP, SUITE 1000
SANTA ROSA BEACH, FL 32459
Nurse Practitioner
27 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Obstetrics & Gynecology
27 MACK BAYOU LOOP, SUITE 2000
SANTA ROSA BEACH, FL 32459
Internal Medicine (Hematology & Oncology)
27 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Nurse Practitioner (Adult Health)
27 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417210352, enumerated as an "individual" on June 15, 2012.

The provider is located at 27 MACK BAYOU LOOP STE 2000 SANTA ROSA BEACH, FL 32459 and the phone number is (850) 267-2961.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.

Brett Tidwell is affiliated with: SACRED HEART HOSPITAL and SACRED HEART HOSPITAL ON THE EMERALD COAST.