DR. CARTER S TISDALE MD
NPI 1518407600
Ophthalmology in Wright Patterson Afb, OH

Q: 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.

Q: What is Carter Tisdale's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: 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.

Active since March 08, 2017PECOS EnrolledAccepts Medicare Assignment

4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 522-2841 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2024, Aug 22, 2023, Sep 20, 2018 and 1 more (4 updates tracked since 2018).

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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

NPI1518407600

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. CARTER S TISDALECredential: MD

Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529

Mailing Address4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529

Phone(937) 522-2841

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2017

Enumeration DateMarch 8, 2017

Last NPPES UpdateMay 9, 20244 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1518407600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in AL · 37355

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 37355 (AL)

4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433

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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

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.

PECOS PAC ID8921336157

PECOS Enrollment IDI20251023003483

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.

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.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

MR. JAMES REBELLO III

Pharmacist

4881 SUGAR MAPLE DR
FAIRBORN, OH 45433

Greene County (937) 257-9014

CARLA HUELSKAMP PHARMD

Pharmacist

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9696

JOHN ALAN ARTHUR

Internal Medicine

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-4482

ALEXIS D OWEN

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-1574

GREGORY JAMES MORSE M.D.

Radiology (Nuclear Radiology)

4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9679

KENDRA M. SCHMUCK RD LD

Dietitian, Registered

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-8815

MATTHEW PHILIP SCULLY IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (616) 717-0169

KAREN LEWIS RTT

Radiologic Technologist (Radiation Therapy)

4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-4159

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.

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.