TYLER TIDWELL DPM NPI 1629462635

NPI Information

  • NPI: 1629462635
  • Provider Name: TYLER TIDWELL, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4233 GATEWAY BLVD
    NEWBURGH, IN
    ZIP 47630
  • Phone: (812) 858-5786

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NPI Details

Tyler Tidwell, DPM is a podiatrist in Newburgh, IN with 10 years of experience. The provider is 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. Tyler Tidwell, DPM NPI is 1629462635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4233 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-900
Phone: (812) 858-5786
Fax: (812) 490-4512

The NPI 1629462635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of bone, 20.0 sq cm or less (HCPCS:11044)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of fingernail or toenail (HCPCS:11755)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Incision of toe joint capsule (HCPCS:28272)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Amputation of toe at joint between forefoot and toes (HCPCS:28820)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
  • Extensive or complicated repair of surface wound reopening (HCPCS:13160)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 3/27/2015 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery41000347AINDIANANo
2213E00000XPodiatrist244018KENTUCKYNo
3213E00000XPodiatrist07001297AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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