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

Q: What is Brett Tidwell's NPI number?

The NPI number for Brett Tidwell is 1417210352. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Q: What is Brett Tidwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Brett Tidwell was last updated on March 14, 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.

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: August 16, 2026.

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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

Phone(850) 267-2961

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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

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.

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.

11 services11 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

Scored through an Alternative Payment Model

Quality

81.68

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

78%73 patients4/55-star benchmark: 93%

Cervical Cancer Screening

86%244 patients4/55-star benchmark: 98%

Colorectal Cancer Screening

59%105 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

60%35 patients3/55-star benchmark: 91%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

48%259 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

40%378 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 94% · 250 patients

93%250 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MADISON BUTCHER

Nurse Practitioner (Adult Health)

27 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459

Walton County (850) 622-0873

MS. ERIN D JOHNSON NP-C

Nurse Practitioner

27 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459

Walton County (850) 622-0873

BRENDA K WHIGHAM I CRNP

Nurse Practitioner

27 MACK BAYOU LOOP, SUITE 1000
SANTA ROSA BEACH, FL 32459

Walton County (850) 622-0873

DR. MARK CHRISTOPHER DELEON M.D.

Internal Medicine (Hematology & Oncology)

27 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459

Walton County (850) 622-0873

MOSE SIM HAYES III MD

Internal Medicine (Hematology & Oncology)

27 MACK BAYOU LOOP, SUITE 1000
SANTA ROSA BEACH, FL 32459

Walton County (850) 622-0873

ANNE MARIE PIANTANIDA-WHITLOCK MD

Obstetrics & Gynecology

27 MACK BAYOU LOOP, SUITE 2000
SANTA ROSA BEACH, FL 32459

Walton County (850) 267-2961

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 Brett Tidwell's NPI number?

The NPI number for Brett Tidwell is 1417210352. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Brett Tidwell located?

Brett Tidwell practices at 27 Mack Bayou Loop Ste 2000, Santa Rosa Beach, FL 32459. The listed phone number is (850) 267-2961.

What is Brett Tidwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brett Tidwell enrolled in Medicare?

Yes. Brett 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.

What insurance does Brett Tidwell accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Brett Tidwell 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.

Is Brett Tidwell affiliated with any hospitals?

According to CMS data, Brett Tidwell is affiliated with Sacred Heart Hospital and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Brett Tidwell was last updated on March 14, 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.