NPI registry status
Active
2026 NPPES data Plastic Surgery Physician NPI 1942427380 MD
Verify on CMS → James Tidwell, MD
Plastic Surgery Physician in Owensboro, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,431 in Plastic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
409
Medicare Part D claims · 324 beneficiaries · Plastic Surgery Physician avg: 88
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$144.52
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
James Tidwell, MD filed 409 Medicare Part D claims in 2024 as a Plastic Surgery Physician in Owensboro, Kentucky, prescribing 60% generic.
- 409
- Part D claims, 2024
- 60%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥61st
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about James Tidwell, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1942427380), first enumerated 04/19/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 409 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$144.52 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1942427380 · Plastic Surgery Physician
NPI-10 · ENUM-MID · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1942427380
- ENUM-MID 2007
- TAX-MID 5K Plastic Surgery
- RX-LIGHT 409
- BOOK-THIN 61 in Kentucky
- PHOTO-ENUM Sharline Aboutanos · 2007
James Tidwell, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
409 ≥ 61st percentile 61% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
James Tidwell, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Tidwell, MD?
Quality data not reportedPrimary specialty
Plastic Surgery Physician
Medicare Part D claims
409 365% vs specialty avg
Specialty distribution in Kentucky
How Plastic Surgery Physician compares to other specialties among Kentucky providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Plastic Surgery Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1942427380 |
|---|---|
| Specialty | Plastic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/19/2007 |
Hospital and facility affiliations
Facilities where James Tidwell, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Owensboro Health Medical Group Inc
Owensboro, KY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for James Tidwell, MD. Source: openpaymentsdata.cms.gov.
Total received
$145
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Above average
James Tidwell, MD - brand share 40.0%
Plastic Surgery Physician average
40% brand-name claims vs 60% generic, on 409 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
409
Total Claims
$44K
Total Drug Cost
324
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 409
- Total Day Supply
- 3,116
- Brand vs Generic
- 40% brand / 60% generic
- Brand Drug Cost
- $36K
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 71.1 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 51, 65-74: 164, 75-84: 93, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James Tidwell, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Mupirocin
Mupirocin
183 claims
- Abrysvo 70
Abrysvo
70 claims
- Shingrix 38
Shingrix
38 claims
- Varenicline Tartrate 30
Varenicline Tartrate
30 claims
- Boostrix Tdap 15
Boostrix Tdap
15 claims
- Bupropion Hcl Sr 15
Bupropion Hcl Sr
15 claims
| Drug | Claims |
|---|---|
| Mupirocin | 183 |
| Abrysvo Rsv Vacc, Pref A And Pref B/Pf | 70 |
| Shingrix Varicella-Zoster Ge/As01b/Pf | 38 |
| Varenicline Tartrate | 30 |
| Boostrix Tdap Diphth,pertuss(Acell),tet Vac | 15 |
| Bupropion Hcl Sr Bupropion Hcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Plastic Surgery Physician Overview
How James Tidwell, MD fits within the Plastic Surgery Physician landscape nationally.
5,431
Plastic Surgery Physician Providers in US
53
States with Plastic Surgery Physician
88
Avg Claims per Provider
James Tidwell, MD's 409 claims are above the specialty average of 88.
Nationwide Plastic Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Tidwell, both outside Kentucky so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Plastic Surgery Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Tidwell.
One of 61 Plastic Surgery Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Raleigh Archer
M.D.
Lexington, KY
Dr. Zachariah Barnes
M.D.
Owensboro, KY
Bruce Barton
Lexington, KY
Dr. Katherine Billue
MD
Louisville, KY
Dr. Morgan Brgoch
M.D.
Lexington, KY
Compare Plastic Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is James Tidwell, MD's specialty? ▼
James Tidwell, MD specializes in Plastic Surgery Physician and practices in Owensboro, Kentucky. Credentials: MD.
How much does James Tidwell, MD prescribe under Medicare Part D? ▼
In 2024, James Tidwell, MD wrote 409 Medicare Part D claims totaling $44K in drug costs for 324 beneficiaries.
Where is James Tidwell, MD located? ▼
James Tidwell, MD is located at 2211 MAYFAIR DR STE 305, Owensboro, KY, 42301. Phone: (270) 688-3700.
What is James Tidwell, MD's NPI number? ▼
James Tidwell, MD's National Provider Identifier (NPI) is 1942427380, issued on 04/19/2007.
Does James Tidwell, MD prescribe more brand-name or generic drugs? ▼
James Tidwell, MD's prescribing is 40% brand-name and 60% generic drugs by claim count, with $36K in brand drug costs.
How many Plastic Surgery Physician providers are there in the US? ▼
There are 5,431 Plastic Surgery Physician providers across 53 states in the US. The average Plastic Surgery Physician provider writes 88 Medicare Part D claims per year.
What drugs does James Tidwell, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, James Tidwell, MD's most frequently prescribed drugs include Mupirocin, Abrysvo, Shingrix. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Tidwell, MD accept Medicare? ▼
James Tidwell, MD appears in CMS Medicare data with 409 Part D claims and 324 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Tidwell, MD's credentials? ▼
James Tidwell, MD's NPI is 1942427380 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.