CODY TIDWELL, MD

Pain Medicine (Anesthesiology) Physician · MINNEAPOLIS, MN

Individual Active NPI 1033672837

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	51	57	$103,259	$7,203	$5,739

Taxonomy & licensure

Specialty	Code	Primary	License	State
Pain Medicine (Anesthesiology) Physician	207LP2900X	✓	77909	MN
Anesthesiology Physician	207L00000X		13284677-1205	UT
Pain Medicine (Anesthesiology) Physician	207LP2900X		13284677-1205	UT

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.