Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518407600 Individual Practitioner Male Practitioner

Dr. Carter S Tisdale , MD

Ophthalmology • Wright Patterson Afb, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carter Tisdale, MD is a certified Ophthalmology practicing in Wright Patterson Afb, OH. With approximately 9 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2017, Dr. Tisdale delivers high-quality medical care to the local community at 4881 SUGAR MAPLE DR.

Dr. Tisdale is affiliated with Bloom Family Eye Surgeons Ltd and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9375222841
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1407842347

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Wright Patterson Afb, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -5.8 yrs vs City Avg
City Avg: 14.8 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Wright Patterson Afb, OH (803 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tisdale (9 Years) 9 Yrs
Wright Patterson Afb Specialty Average (14.8 Years) 14.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-09
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AL 37355

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

General Practice

NUCC Taxonomy Code: 208D00000X

State License AL 37355

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Bloom Family Eye Surgeons Ltd

1020 Woodman Dr, Dayton, OH 454321410

Phone: 9377237772

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1083970628

Doctor of Medicine (M.D.)

NPI 1659525558

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

23 Historical Events
📍
Updated Practice Location May 09, 2024

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9375222841)

📍
Updated Business Mailing Address May 09, 2024

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529

📍
Updated Practice Location August 22, 2023

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102926030)

📍
Updated Business Mailing Address August 22, 2023

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638

👤
Provider Name / Credentials Updated August 22, 2023

Recorded as CARTER TISDALE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2023

General Practice (License #37355 in AL)

📍
Updated Practice Location September 20, 2018

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026533330)

📍
Updated Business Mailing Address September 20, 2018

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026533330)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2018

Preventive Medicine (License #37355 in AL)

📍
Updated Practice Location April 18, 2018

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102286387)

📍
Updated Business Mailing Address April 18, 2018

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2018

Registered at 2200 BERGQUIST DR, STE 1, JBSA LACKLAND, TX 782369907 (Tel: 2102286387)

📍
Updated Business Mailing Address January 23, 2018

Registered at 2200 BERGQUIST DR, STE 1, JBSA LACKLAND, TX 782369907

👤
Provider Name / Credentials Updated January 23, 2018

Recorded as CARTER TISDALE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

General Practice (License #1518407600 in TX)

NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2017

Registered at 2200 BERGQUIST DR, STE 1, JBSA LACKLAND, TX 782369907 (Tel: 2109165545)

📍
Updated Business Mailing Address March 08, 2017

Registered at 2200 BERGQUIST DR, STE 1, JBSA LACKLAND, TX 782369907

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as CARTER TISDALE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 08, 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: 1518407600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2017
Last Update: May 09, 2024
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

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.