DR. CHAD EVERETT TISDALE O.D.
NPI 1992031934
Optometrist in Wilmington, NC

Active since October 27, 2009PECOS EnrolledAccepts Medicare Assignment
90.57/100
CMS Quality Rating
1729 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403(910) 763-3601(910) 763-4608 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 27, 2020, Aug 20, 2018 (2 updates tracked since 2018).

About Dr. Chad Everett Tisdale O.d. NPPES

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

DR. CHAD EVERETT TISDALE O.D. (NPI 1992031934) is an individual optometrist in Wilmington, North Carolina, licensed in North Carolina (2178) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2009).

NPPES Registry Identity

NPI1992031934
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHAD EVERETT TISDALECredential: O.D.
Location Address1729 NEW HANOVER MEDICAL PARK DRWilmington, NC 28403-5345
Mailing Address1729 New Hanover Medical Park DrWilmington, NC 28403-5345 · (910) 763-3601 · Fax (910) 763-4608
Fax(910) 763-4608
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2009
Enumeration DateOctober 27, 2009
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1992031934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NC · 2178
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1729 NEW HANOVER MEDICAL PARK DR, Wilmington, NC 28403

Other Identifiers 1

Medicaid5913156NC

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. Chad Everett Tisdale O.d. 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 ID5991849846
PECOS Enrollment IDI20100216000930
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
728 services724 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.
558 services395 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
378 services164 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
196 services195 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
180 services89 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
116 services116 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

90.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost68.58

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers15 claims15 services$56.88 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims18 services$58.33 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.

Ophthalmology
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Optometrist
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Ophthalmology
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Optometrist
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Optometrist
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Ophthalmology
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Ophthalmology
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Ophthalmology
1729 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992031934, enumerated as an "individual" on October 27, 2009.

The provider is located at 1729 NEW HANOVER MEDICAL PARK DR WILMINGTON, NC 28403 and the phone number is (910) 763-3601.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC,. Please consult your insurance carrier or call the provider to verify.