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STEPHEN ROBERT TISDALE MSPAS, PA-C
NPI 1790212728
Physician Assistant in Toledo, OH

Active since May 22, 2017PECOS EnrolledAccepts Medicare Assignment
2865 N REYNOLDS RD BLDG A, TOLEDO, OH 43615(419) 578-7200(419) 537-5600 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Nov 3, 2023, May 22, 2017 (3 updates tracked since 2017).

About Stephen Robert Tisdale Mspas, Pa-c NPPES

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

STEPHEN ROBERT TISDALE MSPAS, PA-C (NPI 1790212728) is an individual physician assistant in Toledo, Ohio, licensed in Ohio (50.008487RX) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790212728
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHEN ROBERT TISDALECredential: MSPAS, PA-C
Location Address2865 N REYNOLDS RD BLDG AToledo, OH 43615-2100
Mailing Address16925 Waterloo RdChelsea, MI 48118-9021 · (734) 368-7025
Phone(419) 578-7200
Fax(419) 537-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2017
Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1790212728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OH · 50.008487RX✔ Licensed in MI · 5601008212
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2865 N REYNOLDS RD BLDG A, Toledo, OH 43615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Stephen Robert Tisdale Mspas, Pa-c 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 ID7719255405
PECOS Enrollment IDI20231211003328
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 43615 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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 14

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

ZEFIRYN BRYAN PA-S
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7571
MRS. MEGHAN DIER PA-S
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
ASHER O SMITH M.D.
Orthopaedic Surgery (Hand Surgery)
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
PAIGE ONWELLER PA-C
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7571
THERESA LYNN MUSGRAVE PA-C
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
CAITLIN CEGLAREK
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
RYAN ROTH PA
Physician Assistant (Medical)
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
ARIELLE DESIRAE FRAME
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200

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 Stephen Tisdale's NPI number?

The NPI number for Stephen Tisdale is 1790212728. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Stephen Tisdale located?

Stephen Tisdale practices at 2865 N Reynolds Rd Bldg A, Toledo, OH 43615. The listed phone number is (419) 578-7200.

What is Stephen Tisdale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephen Tisdale enrolled in Medicare?

Yes. Stephen 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.

What insurance does Stephen Tisdale accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 2 other insurers list Stephen 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 Stephen Tisdale was last updated on November 21, 2023. 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.