Doctor profile · Federal record
Dr. Charles Tisdale, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Surgical Physician Assistant · Shreveport, LA
- NPI 1821096686
- Accepts Medicare
- 29 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 Line Ave Ste 100
Shreveport, LA 711014644
(318) 635-3052
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- November 24, 2025
- Year of graduation
- 1997 — 29 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Louisiana #PA.A10284 · Louisiana #A10284
- Medicaid
- LA #1626708
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821096686. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
107
Distinct HCPCS
4
Medicare allowed
$15,366
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
27447 |
Replacement of knee joint, both sides of knee | 45 | 45 | $177 | |
27130 |
Replacement of thigh bone and hip joint with prosthesis | 29 | 28 | $170 | |
23120 |
Partial removal of collar bone | 17 | 17 | $39 | |
23412 |
Repair of chronic torn shoulder rotator cuff | 16 | 16 | $113 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 62. This provider delivers 1.7× the peer median.Open Payments
Industry payments received
All-time total
$52
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bioventus LLC | 1 | $17.99 | |
| ABBVIE INC. | 1 | $16.92 | |
| VERTEX PHARMACEUTICALS INCORPORATED | 1 | $16.75 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
494
Patients
321
Total drug cost
$10,420
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 92 | 61 | $719 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 76 | 62 | $636 |
| Hydroxyzine Hcl | Generic | 58 | 50 | $387 |
| Oxycodone Hcl | Generic | 45 | 33 | $254 |
| Cefadroxil | Generic | 39 | 34 | $193 |
| Celecoxib | Generic | 36 | 14 | $1,101 |
| Meloxicam | Generic | 34 | 18 | $170 |
| Xarelto (Rivaroxaban) | Brand | 23 | 22 | $6,101 |
| Prednisone | Generic | 20 | 0 | $71 |
| Ibuprofen | Generic | 16 | 0 | $174 |
Hospital affiliations
Frequently asked questions
What is Dr. Charles Tisdale's medical specialty?
Dr. Charles Tisdale practices Surgical Physician Assistant in Shreveport, LA.
Where does Dr. Charles Tisdale practice?
Dr. Charles Tisdale practices at 1500 Line Ave Ste 100, Shreveport, LA 711014644. Office phone: 3186353052.
What is Dr. Charles Tisdale's NPI?
Dr. Charles Tisdale's National Provider Identifier (NPI) is 1821096686, issued by NPPES.
Does Dr. Charles Tisdale accept Medicare assignment?
Yes. Dr. Charles Tisdale accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Charles Tisdale commonly perform?
Top Medicare-reported procedures in 2023: Replacement of knee joint, both sides of knee (HCPCS 27447); Replacement of thigh bone and hip joint with prosthesis (HCPCS 27130); Partial removal of collar bone (HCPCS 23120). Source: CMS Medicare Physician & Other Practitioners file.