Doctor profile · Federal record
Dr. Mackenzie Tiderington, P.A-C
Physician Assistant · Dayton, OH
- NPI 1114577103
- Accepts Medicare
- MIPS 93.2 / 100 · 2023
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4160 Little York RD Ste 10
Dayton, OH 454145803
(937) 415-9100
fax (937) 415-9191 - Mailing address
-
6551 Centerville Business Pkwy Ste 120
Centerville, OH 454592696
Credentials & registration
- NPI registered
- September 2019 — 7 yrs on file
- Profile last updated
- December 4, 2022
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Ohio #50.006159RX
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114577103. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
764
Distinct HCPCS
5
Medicare allowed
$63,911
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 432 | 307 | $72 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 283 | 204 | $101 | |
20553 |
Injection of trigger points, 3 or more muscles | 21 | 17 | $48 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $91 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $135 |
In context: peer comparison
Among 54 peers in Dayton Physician Assistant, average services per provider: 97. This provider delivers 7.9× the peer median.Open Payments
Industry payments received
All-time total
$2,669
Transactions
67
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 48 | $1,139.75 | |
| Curonix LLC | 9 | $1,114.00 | |
| Vertos Medical, INC. | 6 | $334.61 | |
| Boston Scientific Corporation | 2 | $37.34 | |
| Medtronic, INC. | 1 | $22.20 | |
| Abbvie INC. | 1 | $20.60 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
684
Patients
315
Total drug cost
$12,500
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 253 | 86 | $2,412 |
| Pregabalin | Generic | 67 | 23 | $5,017 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 43 | 18 | $866 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 39 | 15 | $727 |
| Meloxicam | Generic | 39 | 17 | $109 |
| Diclofenac Sodium | Generic | 33 | 16 | $814 |
| Diazepam | Generic | 31 | 30 | $17 |
| Tizanidine Hcl | Generic | 31 | 15 | $356 |
| Clindamycin Hcl | Generic | 29 | 29 | $57 |
| Methocarbamol | Generic | 28 | 16 | $534 |
Hospital affiliations
Frequently asked questions
What is Dr. Mackenzie Tiderington's medical specialty?
Dr. Mackenzie Tiderington practices Physician Assistant in Dayton, OH.
Where does Dr. Mackenzie Tiderington practice?
Dr. Mackenzie Tiderington practices at 4160 Little York RD Ste 10, Dayton, OH 454145803. Office phone: 9374159100.
What is Dr. Mackenzie Tiderington's NPI?
Dr. Mackenzie Tiderington's National Provider Identifier (NPI) is 1114577103, issued by NPPES.
Does Dr. Mackenzie Tiderington accept Medicare assignment?
Yes. Dr. Mackenzie Tiderington accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mackenzie Tiderington commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Injection of trigger points, 3 or more muscles (HCPCS 20553). Source: CMS Medicare Physician & Other Practitioners file.