Douglas Tisdale, M.D.
NPI 1316920416 · Hematology & Oncology Physician · Burlington, MA
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Tisdale, M.D. is a Hematology & Oncology Physician provider in Burlington, MA (NPI 1316920416).
Provider details
- NPI number
- 1316920416
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 13131 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
608 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 284 | $96 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 165 | $65 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 54 | $132 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 47 | $179 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 46 | $143 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 64 | 34 |
| Hydroxyurea | 35 | 13 |
| Exemestane | 23 | — |
| Imatinib Mesylate | 14 | — |
| Apixabanbrand: Eliquis | 13 | — |
| Osimertinib Mesylatebrand: Tagrisso | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Frequently asked questions
- What is Douglas Tisdale's NPI number?
- Douglas Tisdale's National Provider Identifier (NPI) is 1316920416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Tisdale's specialty?
- Douglas Tisdale is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Tisdale located?
- Douglas Tisdale's practice location on file with NPPES is 41 Mall Rd Lahey Hospital and Medical Center, Burlington, MA 01805-3648.
- What is Douglas Tisdale's phone number?
- The practice phone number listed in the NPPES registry for Douglas Tisdale is (781) 744-8400.
- Does Douglas Tisdale accept Medicare?
- Douglas Tisdale is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Tisdale's NPI active?
- Yes — Douglas Tisdale's NPI (1316920416) is active in the NPPES registry as of the last update on 2020-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.