Active NPI 1114577103 Individual Practitioner Female Practitioner

Mackenzie R Tiderington , PA-C

Physician Assistant • Dayton, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mackenzie Tiderington, PA-C is a certified Physician Assistant practicing in Dayton, OH. With approximately 7 years of clinical experience since completing medical education in 2019, Mackenzie Tiderington delivers high-quality medical care to the local community at 4160 LITTLE YORK RD STE 10.

Mackenzie Tiderington is affiliated with Orthopedic Associates Of Sw Ohio Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection of trigger points. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4160 Little York Rd Ste 10

Dayton, OH 454145803

Telephone 9374159100

Fax 9374159191

Associated Practice Facility / Clinic

🏢 Orthopedic Asoc Of Sw Ohio, Inc. Facility NPI 1952303331

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dayton, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -1.7 yrs vs City Avg

City Avg: 8.7 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

250 Specialists

Practicing in Dayton, OH (5376 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tiderington (7 Years) 7 Yrs

Dayton Specialty Average (8.7 Years) 8.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	335	$313.00	$102.20
99213 Established patient office or other outpatient visit, typically 15 minutes	428	286	$212.00	$72.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$485.00	$131.37
20553 Injection of trigger points, 3 or more muscles	27	20	$189.00	$48.23
72070 X-ray of middle spine, 2 views	18	17	$99.00	$25.61
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$219.00	$72.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$320.00	$89.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	432	307	$212.00	$72.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	204	$313.00	$100.91
20553 Injection of trigger points, 3 or more muscles	21	17	$189.00	$48.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$320.00	$90.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$485.00	$135.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	79	$120.82	$71.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	65	$143.93	$80.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	35	$180.00	$102.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$150.00	$38.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	14	$35.00	$11.69
81002 Urinalysis, manual test	16	15	$15.00	$3.44

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	84	54	$140.00	$84.39
99213 Established patient office or other outpatient visit, typically 15 minutes	75	61	$90.00	$57.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	43	$180.00	$114.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$150.00	$109.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	15	$35.00	$11.59
81002 Urinalysis, manual test	22	18	$15.00	$3.48
83036 Hemoglobin A1C level	14	13	$25.00	$9.71

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	109	69	$140.00	$69.51
99213 Established patient office or other outpatient visit, typically 15 minutes	95	72	$90.00	$46.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	63	11	$8.00	$1.49
G0008 Administration of influenza virus vaccine	33	33	$35.00	$15.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	20	$35.00	$11.67
81002 Urinalysis, manual test	28	17	$12.00	$3.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$150.00	$95.07
90662 Influenza vaccine split virus, preservative free	26	26	$60.58	$57.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$180.00	$89.33

Medical Specialties & State Licenses

CMS Verified: 2022-12-04

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.006159RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oh Medical License

50.006159RX (OH)

Hospital & Practice Group Affiliations

Orthopedic Associates Of Sw Ohio Inc

1002 Rainbow Ct, Fairborn, OH 453246365

Phone: 8008249861

Orthopedic Associates Of Sw Ohio Inc

7677 Yankee St, Centerville, OH 454593475

Phone: 9374280400

Orthopedic Associates Of Sw Ohio Inc

4160 Little York Rd, Dayton, OH 454145803

Phone: 9374159100

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Chad Reed , DO

Orthopaedic Surgery

NPI 1003068230

Doctor of Osteopathic Medicine (D.O.)

Camille Bowshier , PT

Physical Therapist - Orthopedic

NPI 1013238062

Physical Therapist

Caroline Mccomb , PA-C

Physician Assistant

NPI 1013506179

Physician Assistant (Certified)

Dr. Atiba Jackson , MD

Orthopaedic Surgery

NPI 1033329990

Doctor of Medicine (M.D.)

Stephanie Buehler , OT

Occupational Therapist

NPI 1053661926

Occupational Therapist

Chelsey Mosier , PA

Physician Assistant

NPI 1063937233

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 04, 2022

Registered at 4160 LITTLE YORK RD STE 10, DAYTON, OH 454145803 (Tel: 9374159100)

📍

Updated Business Mailing Address December 04, 2022

Registered at 6551 CENTERVILLE BUSINESS PKWY STE 120, CENTERVILLE, OH 454592696 (Tel: 9374159100)

👤

Provider Name / Credentials Updated December 04, 2022

Recorded as MACKENZIE TIDERINGTON, P.A-C

✅

NPI Profile Active September 12, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2019

Registered at 6438 WILMINGTON PIKE STE 110, DAYTON, OH 454597021 (Tel: 9378484121)

📍

Updated Business Mailing Address September 12, 2019

Registered at 6438 WILMINGTON PIKE STE 110, DAYTON, OH 454597021 (Tel: 9378484121)

👤

Provider Name / Credentials Updated September 12, 2019

Recorded as MACKENZIE RICE, P.A-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2019

Physician Assistant (License #50.006159RX in OH)

🟢

Initial NPI Registration & Enumeration September 12, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114577103

Entity Type:

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

Enumeration Date: September 12, 2019

Last Update: December 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6551 Centerville Business Pkwy Ste 120

Centerville, OH 454592696

Phone: 9374159100

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.