TYLER TIDWELL DPM
NPI 1629462635
Podiatrist in Newburgh, IN

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
4233 GATEWAY BLVD, NEWBURGH, IN 47630(812) 858-5786(812) 490-4512 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2019, Jul 1, 2019, Jun 21, 2016 (3 updates tracked since 2016).

About Tyler Tidwell Dpm NPPES

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

TYLER TIDWELL DPM (NPI 1629462635) is an individual podiatrist in Newburgh, Indiana, licensed in Indiana (07001297A) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629462635
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTYLER TIDWELLCredential: DPM
Location Address4233 GATEWAY BLVDNewburgh, IN 47630-8900
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 490-4512
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 27, 2015
Last NPPES UpdateNovember 19, 20193 updates tracked since enumeration
NPI 1629462635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses Licensed in IN · 07001297A Licensed in KY · 244018
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 41000347A (IN)
4233 GATEWAY BLVD, Newburgh, IN 47630

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

Tyler Tidwell Dpm 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 ID2264766591
PECOS Enrollment IDI20190620001334, I20191211000997
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 25

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
493 services250 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
214 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
203 services161 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
186 services186 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
171 services126 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
145 services145 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4386
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$132.18 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 20

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

Family Medicine
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Family Medicine
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Family Medicine
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Durable Medical Equipment & Medical Supplies
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Surgery (Plastic and Reconstructive Surgery)
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Optometrist
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4233 GATEWAY BLVD
NEWBURGH, IN 47630

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 Tyler Tidwell's NPI number?

The NPI number for Tyler Tidwell is 1629462635. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Tyler Tidwell located?

Tyler Tidwell practices at 4233 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 858-5786.

What is Tyler Tidwell's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Tyler Tidwell enrolled in Medicare?

Yes. Tyler 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 Tyler Tidwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tyler 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 Tyler Tidwell affiliated with any hospitals?

According to CMS data, Tyler Tidwell is affiliated with Deaconess Hospital Inc and Deaconess Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Tidwell was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.