Doctor profile · Federal record
Dr. Justin Tidwell, DPM
Foot & Ankle Surgery Podiatrist (CMS: Podiatry) · Foot & Ankle Surgery Podiatrist · Portland, OR
- NPI 1710908892
- Accepts Medicare
- MIPS 88.7 / 100 · 2023
- 23 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
501 N Graham St, Suite 415
Portland, OR 972271654
(503) 413-2005
fax (503) 413-3699 - Mailing address
-
5815 Ne 23Rd Ave
Portland, OR 972115447
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 213ES0103X — NUCC code
- State licenses (2)
- Oregon #DP00373 · Washington #PO00000806
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710908892. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
643
Distinct HCPCS
6
Medicare allowed
$60,067
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 186 | 104 | $92 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 151 | 151 | $113 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 131 | 13 | $61 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 114 | 59 | $127 | |
11055 |
Removal of noncancer thickened skin growth, 1 growth | 31 | 22 | $76 | |
73630 |
X-ray of foot, minimum of 3 views | 30 | 23 | $32 |
In context: peer comparison
Among 8 peers in Portland Foot & Ankle Surgery Podiatrist, average services per provider: 73. This provider delivers 8.8× the peer median.Open Payments
Industry payments received
All-time total
$968
Transactions
7
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Treace Medical Concepts, INC. | 5 | $917.86 | |
| Aroa Biosurgery Incorporated | 1 | $28.39 | |
| PolyNovo North America LLC | 1 | $21.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
71
Patients
26
Total drug cost
$513
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Terbinafine Hcl | Generic | 19 | 0 | $126 |
| Methylprednisolone | Generic | 15 | 15 | $126 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 13 | 11 | $107 |
| Mupirocin | Generic | 12 | 0 | $87 |
| Ssd (Silver Sulfadiazine) | Brand | 12 | 0 | $68 |
Hospital affiliations
Frequently asked questions
What is Dr. Justin Tidwell's medical specialty?
Dr. Justin Tidwell practices Foot & Ankle Surgery Podiatrist in Portland, OR.
Where does Dr. Justin Tidwell practice?
Dr. Justin Tidwell practices at 501 N Graham St, Portland, OR 972271654. Office phone: 5034132005.
What is Dr. Justin Tidwell's NPI?
Dr. Justin Tidwell's National Provider Identifier (NPI) is 1710908892, issued by NPPES.
Does Dr. Justin Tidwell accept Medicare assignment?
Yes. Dr. Justin Tidwell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Justin Tidwell commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042). Source: CMS Medicare Physician & Other Practitioners file.