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Active NPI 1013986603 Individual Practitioner Male Practitioner

Dr. Jerry Neil Tidwell , OD

Optometrist • Dickson, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Tidwell, OD is a certified Optometrist practicing in Dickson, TN. With approximately 45 years of clinical experience since graduating from Southern College Of Optometry in 1981, Dr. Tidwell delivers high-quality medical care to the local community at 610 HENSLEE DR.

Dr. Tidwell is affiliated with Drs. Tidwell, Faulks, And Allen - Optometry, Pllc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

610 Henslee Dr

Dickson, TN 370551211

Telephone 6154462020
Fax 6154412020
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dickson, TN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
45 Yrs +17.7 yrs vs City Avg
City Avg: 27.3 Yrs
State Avg: 22.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Dickson, TN (1373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tidwell (45 Years) 45 Yrs
Dickson Specialty Average (27.3 Years) 27.3 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
92014 Established patient complete exam of visual system
69 68 $145.00 $115.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
31 29 $90.00 $51.61
92004 New patient complete exam of visual system
14 14 $175.00 $136.64
99202 New patient office or other outpatient visit, typically 20 minutes
11 11 $100.00 $66.12

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TN OD0000000818

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3595690 (TN)
Commercial Insurance / Payer ID Blue Cross Blue Shield Tn
3113993 (TN)
Commercial Insurance / Payer ID Medicare Dmerc
1250080001 (TN)

Hospital & Practice Group Affiliations

Drs. Tidwell, Faulks, And Allen - Optometry, Pllc

610 Henslee Dr, Dickson, TN 370551211

Phone: 6154462020

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1578970182

Doctor of Optometry

NPI 1982673935

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 610 HENSLEE DR, DICKSON, TN 370551211 (Tel: 6154462020)

📍
Updated Business Mailing Address July 08, 2007

Registered at 610 HENSLEE DR, DICKSON, TN 370551211 (Tel: 6154462020)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY TIDWELL, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OD0000000818 in TN)

🟢
Initial NPI Registration & Enumeration March 16, 2006

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: 1013986603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

610 Henslee Dr

Dickson, TN 370551211

Phone: 6154462020

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.