Justin Tidwell, DPM
NPI 1710908892 · Foot & Ankle Surgery Podiatrist · Portland, OR
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Tidwell, DPM is a Foot & Ankle Surgery Podiatrist provider in Portland, OR (NPI 1710908892).
Provider details
- NPI number
- 1710908892
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- PO00000806 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
679 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 211 | $129 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 169 | $111 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 132 | $92 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 46 | $16 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 35 | $121 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Silver Sulfadiazine | 29 | — |
| Methylprednisolone | 23 | 21 |
| Silver Sulfadiazinebrand: Ssd | 19 | 13 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 18 | 14 |
| Diclofenac Sodium | 17 | — |
| Oxycodone Hcl | 12 | 11 |
| Terbinafine Hcl | 11 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$968 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Justin Tidwell's NPI number?
- Justin Tidwell's National Provider Identifier (NPI) is 1710908892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Tidwell's specialty?
- Justin Tidwell is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Justin Tidwell located?
- Justin Tidwell's practice location on file with NPPES is 501 N Graham St, Portland, OR 97227-1654.
- What is Justin Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Justin Tidwell is (503) 413-2005.
- Does Justin Tidwell accept Medicare?
- Justin Tidwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Tidwell's NPI active?
- Yes — Justin Tidwell's NPI (1710908892) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.