DR. WILLIAM JAMES TIDWELL MD
NPI 1962849463
Dermatology - MOHS-Micrographic Surgery in Hendersonville, TN

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
100 SPRINGHOUSE CT, HENDERSONVILLE, TN 37075(615) 824-7491(615) 449-5740 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2020, Aug 13, 2020, Apr 21, 2020 and 1 more (4 updates tracked since 2018).

About Dr. William James Tidwell Md NPPES

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

DR. WILLIAM JAMES TIDWELL MD (NPI 1962849463) is an individual mohs-micrographic surgery provider in Hendersonville, Tennessee, licensed in Tennessee (56778) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1962849463
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. WILLIAM JAMES TIDWELLCredential: MD
Location Address100 SPRINGHOUSE CTHendersonville, TN 37075-1609
Mailing Address107 Glidepath WayLebanon, TN 37090-4133 · (615) 449-5771 · Fax (615) 449-5740
Fax(615) 449-5740
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2013
Enumeration DateMay 24, 2013
Last NPPES UpdateDecember 29, 20234 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
NPI 1962849463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Licenses Licensed in TN · 56778 Licensed in KY · 51181 Licensed in CA · A14575
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License A147575 (CA), 51181 (KY)
100 SPRINGHOUSE CT, Hendersonville, TN 37075

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

Dr. William James Tidwell 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 ID6901040625
PECOS Enrollment IDI20210126000052
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 27

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
636 services532 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
432 services101 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
224 services180 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
191 services154 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
190 services175 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
183 services152 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 13

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

Dermatology
100 SPRINGHOUSE CT
HENDERSONVILLE, TN 37075
Dentist (General Practice)
100 SPRINGHOUSE CT, SUITE 130
HENDERSONVILLE, TN 37075
Counselor (Professional)
100 SPRINGHOUSE CT
HENDERSONVILLE, TN 37075
Pediatrics
100 SPRINGHOUSE CT, SUITE 100
HENDERSONVILLE, TN 37075
Dentist (Orthodontics and Dentofacial Orthopedics)
100 SPRINGHOUSE CT, SUITE 200
HENDERSONVILLE, TN 37075
Pediatrics
100 SPRINGHOUSE CT, SUITE 100
HENDERSONVILLE, TN 37075
Pediatrics (Adolescent Medicine)
100 SPRINGHOUSE CT, SUITE 100
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
100 SPRINGHOUSE CT
HENDERSONVILLE, TN 37075

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 William Tidwell's NPI number?

The NPI number for William Tidwell is 1962849463. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is William Tidwell located?

William Tidwell practices at 100 Springhouse Ct, Hendersonville, TN 37075. The listed phone number is (615) 824-7491.

What is William Tidwell's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is William Tidwell enrolled in Medicare?

Yes. William 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 William Tidwell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list William 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.

When was this NPI record last updated?

The NPPES record for William Tidwell was last updated on December 29, 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.