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GRACE TIDWELL MD
NPI 1437579786
Family Medicine in West Sacramento, CA

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
155 15TH ST STE A, WEST SACRAMENTO, CA 95691(916) 454-2345(916) 457-2667 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2021, Dec 5, 2019, Feb 22, 2019 and 1 more (4 updates tracked since 2017).

About Grace Tidwell Md NPPES

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

GRACE TIDWELL MD (NPI 1437579786) is an individual family medicine provider in West Sacramento, California, licensed in California (160389) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2014).

NPPES Registry Identity

NPI1437579786
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGRACE TIDWELLCredential: MD
Location Address155 15TH ST STE AWest Sacramento, CA 95691-3737
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484 · Fax (916) 256-2214
Phone(916) 454-2345
Fax(916) 457-2667
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2014
Enumeration DateApril 24, 2014
Last NPPES UpdateDecember 2, 20214 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1437579786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 160389
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
155 15TH ST STE A, West Sacramento, CA 95691
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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

Grace Tidwell Md 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 ID4789902040
PECOS Enrollment IDI20190516001300
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 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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services44 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
21 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95691 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier11 claims11 services$823.53 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$12.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

ELICA HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
SHAUGHN MITCHELL HEAD MD
Pediatrics
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
MS. MARINA ROBLES LCSW
Social Worker
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (855) 354-2242
ERICA RAMIREZ P.A
Physician Assistant
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
SARAH ELIZABETH RAMOS AGUILAR NP
Nurse Practitioner (Family)
155 15TH ST STE A
W SACRAMENTO, CA 95691
Yolo County (916) 569-8484
VERA PAVLOVNA KONDRASHOV
Physician Assistant
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (855) 354-2242
TATYANA DECK PA
Physician Assistant (Medical)
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345
NUSRAT UDDIN TANNI MD
Internal Medicine
155 15TH ST STE A
WEST SACRAMENTO, CA 95691
Yolo County (916) 454-2345

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 Grace Tidwell's NPI number?

The NPI number for Grace Tidwell is 1437579786. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Grace Tidwell located?

Grace Tidwell practices at 155 15th St Ste A, West Sacramento, CA 95691. The listed phone number is (916) 454-2345.

What is Grace Tidwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grace Tidwell enrolled in Medicare?

Yes. Grace 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 Grace Tidwell was last updated on December 2, 2021. 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.