Justin Alan Tidwell, DPM
NPI 1710908892ActiveIndividual· Podiatrist, Foot & Ankle Surgery· Portland, OR
Podiatrist, Foot & Ankle Surgery (DPM) with Legacy Clinics LLC and 1 other group, practicing in Portland, Oregon. In 2024 Medicare paid $72,379 for 296 patients, and Part D covered 168 of their prescriptions, 71% of them generic. Depuy Synthes Sales Inc. reported $65.32 in payments in 2025, mostly food and beverage. Lists Legacy Emanuel Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1710908892 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | Yes |
| NPI issued | Jul 22, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | DP00373 | OR |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO00000806 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (OR); Practitioner - Podiatry (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 296 |
|---|---|
| Services billed | 1,043 across 51 procedure codes |
| Paid by Medicare | $72,379 |
Part D prescriptions in 2024
| Prescriptions (claims) | 168 · 170 30-day fills |
|---|---|
| Patients | 87 |
| Total drug cost | $1,273 |
| Generic share | 71% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Podiatry |
Medical groups
- Legacy Clinics LLCPortland, OR · 713 clinicians
- Legacy Salmon Creek HospitalPortland, OR · 301 clinicians
Hospital affiliations
- Legacy Emanuel Medical CenterPortland, OR
- Legacy Good Samaritan Medical CenterPortland, OR
- Legacy Salmon Creek Medical CenterVancouver, WA
Industry payments (Open Payments)
- 2025$65.32 · 1 payment from 1 company
- 2024$967.67 · 7 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $65.32 | 1 |
What the 2025 payments were for
- Food and Beverage$65.32 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 Podiatrist, Foot & Ankle Surgery providers in Portland · All Podiatrist, Foot & Ankle Surgery providers in Oregon