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Active NPI 1790212728 Individual Practitioner Male Practitioner

Stephen Robert Tisdale , MSPAS, PA-C

Physician Assistant • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephen Tisdale, MSPAS, PA-C is a certified Physician Assistant practicing in Toledo, OH. With approximately 9 years of clinical experience since completing medical education in 2017, Stephen Tisdale delivers high-quality medical care to the local community at 2865 N REYNOLDS RD BLDG A.

Stephen Tisdale is affiliated with Promedica Central Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2865 N Reynolds Rd Bldg A

Toledo, OH 436152100

Telephone 4195787200
Fax 4195375600
Associated Practice Facility / Clinic
🏢 Promedica Central Physicians Facility NPI 1669068482

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Toledo, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
235 Specialists

Practicing in Toledo, OH (5376 Statewide)

Telehealth Adoption Rate
6.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tisdale (9 Years) 9 Yrs
Toledo Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
128 12 $10.00 $1.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
40 33 $165.00 $105.26
20610 Aspiration and/or injection of fluid from large joint
26 16 $176.00 $53.35
99213 Established patient office or other outpatient visit, typically 15 minutes
19 15 $112.00 $74.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $239.00 $109.00

Medical Specialties & State Licenses

CMS Verified: 2023-11-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.008487RX

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MI 5601008212

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.

Hospital & Practice Group Affiliations

Promedica Central Physicians

2901 N Reynolds Rd, Toledo, OH 43606

Phone: 4195787700

Promedica Central Physicians

2865 N Reynolds Rd, Toledo, OH 436152100

Phone: 4195787200

Practice Associates & Co-Workers

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

26 Associated Practitioners
Dr. Paul Fenton , MD

Orthopaedic Surgery

NPI 1003820234

Doctor of Medicine (M.D.)

Dr. John Houghtaling , MD

Orthopaedic Surgery - Hand Surgery

NPI 1063661262

Doctor of Medicine (M.D.)

Dr. Anthony Frogameni , MD

Orthopaedic Surgery - Sports Medicine

NPI 1073535191

Doctor of Medicine (M.D.)

Tyler Vovos

Orthopaedic Surgery

NPI 1124413372
Bridget Jurkiewicz , PA-C

Physician Assistant

NPI 1134545437

Physician Assistant (Certified)

Meghan Dier , PA-S

Physician Assistant

NPI 1255953840

PAS

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location November 21, 2023

Registered at 2865 N REYNOLDS RD BLDG A, TOLEDO, OH 436152100 (Tel: 4195787200)

NPI Profile Active May 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2017

Registered at 718 N MACOMB ST, MONROE, MI 481627815 (Tel: 7342408400)

📍
Updated Business Mailing Address May 22, 2017

Registered at 16925 WATERLOO RD, CHELSEA, MI 481189021 (Tel: 7343687025)

👤
Provider Name / Credentials Updated May 22, 2017

Recorded as STEPHEN TISDALE, MSPAS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2017

Physician Assistant (License #5601008212 in MI)

🟢
Initial NPI Registration & Enumeration May 22, 2017

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: 1790212728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2017
Last Update: November 21, 2023
Sole Proprietor: No

Mailing Address

16925 Waterloo Rd

Chelsea, MI 481189021

Phone: 7343687025

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.