DR. RONALD COURY TISDALE MD
NPI 1790203461
Family Medicine in Selma, AL
About Dr. Ronald Coury Tisdale Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RONALD COURY TISDALE MD (NPI 1790203461) is an individual family medicine provider in Selma, Alabama, licensed in Alabama (MD.41401) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Icahn School Of Medicine At Mount Sinai (2017).
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Locations 3
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. Ronald Coury 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 Reassignments
6Medicare enrollment records show Ronald Tisdale reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Selma, AL 36701
- Reassigned Medicare billing, Alabama enrollment
- 460 clinicians in this Medicare group
Selma, AL 36701
- Reassigned Medicare billing, Alabama enrollment
- 43 clinicians in this Medicare group
Prattville, AL 36067
- Reassigned Medicare billing, Alabama enrollment
- 223 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 646 clinicians in this Medicare group
Haleyville, AL 35565
- Reassigned Medicare billing, Alabama enrollment
- 56 clinicians in this Medicare group
Foley, AL 36535
- Reassigned Medicare billing, Alabama enrollment
- 110 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SELMA, AL 36701
SELMA, AL 36701
SELMA, AL 36701
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 Ronald Tisdale's NPI number?
The NPI number for Ronald Tisdale is 1790203461. It was assigned to this individual provider in the NPPES registry on September 1, 2017. The provider is also known as Dr. Ronnie Tisdale MD.
Where is Ronald Tisdale located?
Ronald Tisdale practices at 1023 Medical Center Pkwy, Selma, AL 36701. The listed phone number is (650) 387-2272.
What is Ronald Tisdale's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ronald Tisdale enrolled in Medicare?
Yes. Ronald 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 organizations bill Medicare for Ronald Tisdale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Tisdale reassigns Medicare benefits to 6 organizations: University Of Alabama At Birmingham (Selma, AL), Vaughan Physician Practices LLC (Selma, AL), Emergency Services Of Montgomery PC (Prattville, AL), Paragon Contracting Services LLC (Birmingham, AL), Lakeland Physicians LLC (Haleyville, AL) and 1 more organization, listed in the Medicare section above. Each 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 Ronald Tisdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ronald Tisdale accept?
Health plans from Blue Cross and Blue Shield of Alabama list Ronald 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 Ronald Tisdale was last updated on September 2, 2020. 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.
# Dr. Ronald Coury Tisdale, MD · NPI 1790203461
Family Medicine physician in Selma, Alabama. Individual provider, active in the CMS NPPES registry since September 1, 2017.
## Identity
- **NPI:** 1790203461 (Entity type: Individual)
- **Enumerated:** September 1, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD.41401 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1023 MEDICAL CENTER PKWY, Selma, AL 36701-6750
- **Phone:** (650) 387-2272
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): University Of Alabama At Birmingham (NPI 1144235870, Selma, AL); Vaughan Physician Practices LLC (NPI 1063908325, Selma, AL); Emergency Services Of Montgomery PC (NPI 1528310323, Prattville, AL); Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL); Lakeland Physicians LLC (NPI 1851780951, Haleyville, AL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 2017
## Record status
- **NPPES last updated:** September 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790203461) · Data from the CMS NPPES public registry.