Doctor profile · Federal record
Dr. Hollis Tidmore, MD
Surgery Physician · Vascular Surgery Physician · Trauma Surgery Physician · Houston, MO
- NPI 1962473975
- MIPS 89.9 / 100 · 2023
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1422 S Sam Houston Blvd
Houston, MO 654832130
(417) 967-1252
fax (417) 967-0417
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- January 31, 2023
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Missouri #2009005897
- Medicaid
- MO #207050501
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962473975. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
266
Distinct HCPCS
8
Medicare allowed
$31,803
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 70 | 70 | $154 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 47 | 16 | $47 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 45 | 45 | $155 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 32 | 31 | $88 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 21 | 20 | $118 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 20 | 20 | $170 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 17 | 14 | $83 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | 14 | $123 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 33. This provider delivers 8.1× the peer median.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $19.37 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
173
Patients
142
Total drug cost
$2,187
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 72 | 70 | $1,018 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 34 | 26 | $311 |
| Cephalexin | Generic | 31 | 29 | $311 |
| Pantoprazole Sodium | Generic | 19 | 0 | $300 |
| Peg-3350 And Electrolytes (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 17 | 17 | $246 |
Frequently asked questions
What is Dr. Hollis Tidmore's medical specialty?
Dr. Hollis Tidmore practices Surgery Physician in Houston, MO.
Where does Dr. Hollis Tidmore practice?
Dr. Hollis Tidmore practices at 1422 S Sam Houston Blvd, Houston, MO 654832130. Office phone: 4179671252.
What is Dr. Hollis Tidmore's NPI?
Dr. Hollis Tidmore's National Provider Identifier (NPI) is 1962473975, issued by NPPES.
What procedures does Dr. Hollis Tidmore commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.