Active NPI 1962473975 Individual Practitioner Male Practitioner

Dr. Hollis Tidmore , MD

Surgery • Houston, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hollis Tidmore, MD is a certified Surgery practicing in Houston, MO. With approximately 46 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1980, Dr. Tidmore delivers high-quality medical care to the local community at 1422 S SAM HOUSTON BLVD.

Dr. Tidmore is affiliated with Texas County Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, stool analysis for blood to screen for colon tumors, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1422 S Sam Houston Blvd

Houston, MO 654832130

Telephone 4179671252

Fax 4179670417

Associated Practice Facility / Clinic

🏢 Mercy Clinic-Springfield Communities Facility NPI 1487783296

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Houston, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +14.3 yrs vs City Avg

City Avg: 31.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Houston, MO (766 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tidmore (46 Years) 46 Yrs

Houston Specialty Average (31.7 Years) 31.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$185.38	$157.16
82270 Stool analysis for blood to screen for colon tumors	47	47	$20.00	$4.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	21	$95.00	$47.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	36	$795.00	$90.28
99221 Initial hospital inpatient care per day, typically 30 minutes	30	27	$150.00	$78.94
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$95.00	$84.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	18	$140.00	$119.90
45380 Biopsy of large bowel using an endoscope	22	22	$1081.00	$164.72
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$690.00	$164.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$690.00	$167.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$185.00	$153.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	16	$95.00	$46.90
45380 Biopsy of large bowel using an endoscope	45	45	$1081.00	$155.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$795.00	$88.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$140.00	$117.98
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$690.00	$170.24
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$95.00	$82.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$240.00	$122.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$168.92	$120.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$200.09	$155.90
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$111.60	$85.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	32	$748.03	$91.03
45380 Biopsy of large bowel using an endoscope	26	26	$988.54	$170.72
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$690.00	$175.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	146	$198.75	$122.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	119	47	$380.23	$99.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$303.56	$159.50
99213 Established patient office or other outpatient visit, typically 15 minutes	83	69	$133.73	$83.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	19	$195.62	$69.19
36589 Removal of central venous catheter for infusion	29	28	$305.64	$160.25
76937 Ultrasonic guidance for blood vessel access	26	24	$111.60	$13.59
36821 Relocation of arm vein with connection to arm artery, open procedure	25	25	$1247.00	$614.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$278.30	$81.15
45380 Biopsy of large bowel using an endoscope	22	22	$479.99	$153.60
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	20	19	$2367.21	$207.34
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$238.03	$18.20
36832 Revision of dialysis graft, open procedure	16	16	$1421.52	$661.87
36831 Removal of blood clot from dialysis graft, open procedure	14	13	$1159.60	$546.19
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	13	12	$3243.00	$234.17
36830 Connection of tube graft to vein and artery for dialysis	12	12	$1254.08	$637.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	247	108	$381.40	$101.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	134	$198.75	$103.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	65	$195.62	$70.96
99213 Established patient office or other outpatient visit, typically 15 minutes	119	95	$133.73	$70.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$303.56	$156.65
76937 Ultrasonic guidance for blood vessel access	41	36	$111.60	$14.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	34	$278.30	$102.44
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	29	26	$230.23	$86.26
36821 Relocation of arm vein with connection to arm artery, open procedure	28	27	$1247.00	$654.10
36589 Removal of central venous catheter for infusion	26	26	$305.64	$160.75
75820 Radiological supervision and interpretation of imaging of vein of one arm or leg	25	24	$207.40	$34.39
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	20	18	$2367.21	$233.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$380.28	$198.28
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	16	$238.03	$18.57
45380 Biopsy of large bowel using an endoscope	16	16	$479.99	$124.12
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	12	$299.06	$132.53
93923 Complete ultrasound study of arm and leg arteries	14	14	$248.56	$22.05
36832 Revision of dialysis graft, open procedure	12	12	$1421.52	$698.99
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$401.19	$184.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	282	110	$380.23	$100.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	154	$198.75	$101.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	135	64	$195.62	$69.98
99213 Established patient office or other outpatient visit, typically 15 minutes	133	108	$133.73	$69.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$303.56	$154.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	50	$380.28	$192.73
76937 Ultrasonic guidance for blood vessel access	53	44	$111.60	$14.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$278.30	$86.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$381.91	$195.04
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	27	24	$230.23	$84.44
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	26	24	$2367.21	$197.81
45380 Biopsy of large bowel using an endoscope	25	24	$479.99	$161.87
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	16	$299.06	$119.05
36589 Removal of central venous catheter for infusion	23	23	$305.64	$156.76
36821 Relocation of arm vein with connection to arm artery, open procedure	21	21	$1247.00	$660.06
36832 Revision of dialysis graft, open procedure	20	18	$1421.52	$732.40
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	20	18	$3243.00	$234.26
36589 Removal of central venous catheter for infusion	18	15	$305.64	$111.50
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$401.19	$173.45
36830 Connection of tube graft to vein and artery for dialysis	16	16	$1254.08	$656.83
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$238.03	$18.21
75820 Radiological supervision and interpretation of imaging of vein of one arm or leg	15	15	$207.40	$33.99
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	11	11	$1540.00	$167.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	219	89	$195.62	$68.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	213	96	$380.23	$97.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	136	$199.33	$98.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	135	120	$380.27	$190.20
99213 Established patient office or other outpatient visit, typically 15 minutes	134	107	$133.73	$65.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$303.56	$149.50
76937 Ultrasonic guidance for blood vessel access	64	58	$111.60	$13.69
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	50	42	$2367.21	$219.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	42	$278.30	$107.61
45378 Diagnostic exam of large bowel using a flexible endoscope	28	27	$401.19	$171.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$381.91	$190.29
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	22	21	$230.23	$92.97
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	20	20	$3243.00	$227.41
36589 Removal of central venous catheter for infusion	15	14	$305.64	$149.22
36821 Relocation of arm vein with connection to arm artery, open procedure	13	13	$1247.00	$634.91
36830 Connection of tube graft to vein and artery for dialysis	13	13	$1254.08	$611.84
45380 Biopsy of large bowel using an endoscope	12	12	$479.99	$194.59
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$238.03	$17.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$256.64	$128.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	211	70	$181.21	$69.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	187	67	$282.97	$99.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	130	$194.44	$99.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	177	151	$345.95	$193.44
99213 Established patient office or other outpatient visit, typically 15 minutes	130	93	$128.74	$67.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	107	22	$57.32	$37.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$299.61	$151.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	48	$270.27	$97.22
76937 Ultrasonic guidance for blood vessel access	38	33	$106.86	$14.00
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	30	27	$217.83	$119.07
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	21	20	$2367.21	$219.85
36589 Removal of central venous catheter for infusion	20	19	$302.11	$154.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$256.94	$131.11
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$384.85	$177.54
75820 Radiological supervision and interpretation of imaging of vein of one arm or leg	16	15	$198.43	$33.73
93923 Complete ultrasound study of arm and leg arteries	16	16	$244.97	$21.83
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	15	15	$2744.07	$164.01
45380 Biopsy of large bowel using an endoscope	15	15	$457.84	$173.99
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$226.26	$18.38
36830 Connection of tube graft to vein and artery for dialysis	12	12	$1157.61	$623.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$381.91	$193.52

Medical Specialties & State Licenses

CMS Verified: 2023-01-31

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2009005897

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License MO 2009005897

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License MO 2009005897

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

207050501 (MO)

Hospital & Practice Group Affiliations

Texas County Memorial Hospital

1333 S Sam Houston Blvd, Houston, MO 654832046

Phone: 4179671252

Texas County Memorial Hospital

1333 S Sam Houston Blvd, Houston, MO 654832046

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Sherry Phippen-Gesualdi , MD

Surgery

NPI 1336298918

Doctor of Medicine (M.D.)

Dr. William Wright , MD

Family Medicine

NPI 1548217870

Doctor of Medicine (M.D.)

Dr. Jason Loden , DO

Surgery

NPI 1710327879

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location January 31, 2023

Registered at 1422 S SAM HOUSTON BLVD, HOUSTON, MO 654832130 (Tel: 4179671252)

📍

Updated Business Mailing Address January 31, 2023

Registered at 1422 S SAM HOUSTON BLVD, HOUSTON, MO 654832130 (Tel: 4179671252)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2023

Surgery (License #2009005897 in MO)

📍

Updated Practice Location April 11, 2022

Registered at 1333 S SAM HOUSTON BLVD STE C, HOUSTON, MO 654832046 (Tel: 4179671252)

📍

Updated Business Mailing Address April 11, 2022

Registered at 1333 S SAM HOUSTON BLVD STE C, HOUSTON, MO 654832046 (Tel: 4179671252)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2022

Surgery (License #2009005897 in MO)

✅

NPI Profile Active February 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2015

Registered at 1226 LINN ST, SUITE B, SIKESTON, MO 638015200 (Tel: 5734758599)

📍

Updated Business Mailing Address February 26, 2015

Registered at 1226 LINN ST, SUITE B, SIKESTON, MO 638015200 (Tel: 5734758599)

👤

Provider Name / Credentials Updated February 26, 2015

Recorded as HOLLIS TIDMORE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2015

Surgery (License #2009005897 in MO)

🟢

Initial NPI Registration & Enumeration January 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962473975

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 28, 2006

Last Update: January 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1422 S Sam Houston Blvd

Houston, MO 654832130

Phone: 4179671252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.