DR. CARTER S TISDALE MD
NPI 1518407600
Ophthalmology in Wright Patterson Afb, OH
About Dr. Carter S Tisdale Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARTER S TISDALE MD (NPI 1518407600) is an individual ophthalmology provider in Wright Patterson Afb, Ohio, licensed in Alabama (37355) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carter S Tisdale 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.
Medicare Billing Reassignment
Medicare enrollment records show Carter Tisdale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
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 Carter Tisdale's NPI number?
The NPI number for Carter Tisdale is 1518407600. It was assigned to this individual provider in the NPPES registry on March 8, 2017.
Where is Carter Tisdale located?
Carter Tisdale practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 522-2841.
What is Carter Tisdale's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Carter Tisdale enrolled in Medicare?
Yes. Carter Tisdale 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.
Which organization bills Medicare for Carter Tisdale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carter Tisdale reassigns Medicare benefits to Bloom Family Eye Surgeons Ltd (Dayton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carter Tisdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carter Tisdale accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 7 other insurers list Carter Tisdale 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.
When was this NPI record last updated?
The NPPES record for Carter Tisdale was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Carter S Tisdale, MD · NPI 1518407600
Ophthalmology physician in Wright Patterson Afb, Ohio. Individual provider, active in the CMS NPPES registry since March 8, 2017.
## Identity
- **NPI:** 1518407600 (Entity type: Individual)
- **Enumerated:** March 8, 2017
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 37355 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433-5529
- **Phone:** (937) 522-2841
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bloom Family Eye Surgeons Ltd (NPI 1649342890, Dayton, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** May 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1518407600) · Data from the CMS NPPES public registry.