MR. AUSTIN DALE TILLER PA-C
NPI 1235774910
Physician Assistant - Medical in Hamlin, WV

NPI Status: Active since November 17, 2019

Contact Information

7400 LYNN AVE
HAMLIN, WV
ZIP 25523
Phone: (304) 824-5806
Fax: (304) 824-5804

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  • Individual
  • Male
  • Years of Experience 6
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About AUSTIN TILLER

This page provides the complete NPI Profile along with additional information for Austin Tiller, a primary care provider established in Hamlin, West Virginia with a medical specialization in Physician Assistant, focusing in medical and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1235774910 assigned on November 2019. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1235774910
Provider Name
MR. AUSTIN DALE TILLER PA-C
Gender
Male
Entity Type
Individual
Location Address
7400 LYNN AVE HAMLIN, WV 25523
Location Phone
(304) 824-5806
Location Fax
(304) 824-5804
Mailing Address
7400 LYNN AVE HAMLIN, WV 25523
Mailing Phone
(304) 824-5806
Mailing Fax
(304) 824-5804
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
11-17-2019
Last Update Date
08-27-2021
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A primary care provider (PCP) like Austin Tiller sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Austin Tiller is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Austin Tiller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9537587563

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200908002362

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. AUSTIN DALE TILLER PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235774910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265147892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 4 + 7 + 8 + 9 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1235774910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851384242MR. CHRIS ROBERT HARPER RPH
Individual
Pharmacist7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1740254317 DONNA SUSAN WRIGHT MD
Individual
Pediatrics7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1598739807 MICHAEL L GROME PA-C
Individual
Physician Assistant7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1902998479 RANDI RENEE SECRETO RN,MSN,C-FNP
Individual
Nurse Practitioner (Family)7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1093063646 JANET W SEBERT SOCIAL WORKER
Individual
Social Worker7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1205800869DR. GEORGE L MCKAY MD
Individual
Internal Medicine7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1902870595 PAMELLA FRYE RNC-NP
Individual
Nurse Practitioner (Women's Health)7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1891977211 KELLY B. MCMINN RN, MSN, FNP-BC
Individual
Nurse Practitioner (Family)7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1790810307 THOMAS BELFORD PA-C
Individual
Physician Assistant7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1376879189 REBEL RENEA CHRISTIAN FNP-BC
Individual
Nurse Practitioner (Family)7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1992925648 LISA QUEEN NP
Individual
Nurse Practitioner7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1760624472 SARAH C DEUTSCH LGSW
Individual
Social Worker (Clinical)7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1134225444 JACQUELINE C. RANSON FNP-BC
Individual
Nurse Practitioner (Family)7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1578018214 MARA WRIGHT SUTPHIN P.A.-C
Individual
Physician Assistant7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1932109444MRS. COURTNEY KOVACH REYNOLDS PA C
Individual
Physician Assistant (Medical)7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1275986143 LISA ADKINS FNP
Individual
Nurse Practitioner (Family)7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1649250341 CHARLES VANCE III DO
Individual
Family Medicine7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1639694821 LORIN BELCHER PA-C
Individual
Physician Assistant7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1407017429 LUCIA I SOLTIS MD
Individual
Family Medicine7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806
1184881120LINCOLN CO PRIMARY CARE CENTER INC RIGHT FROM THE START
Organization
Day Training, Developmentally Disabled Services7400 LYNN AVE
HAMLIN, WV 25523
(304) 824-5806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235774910, enumerated in the NPI registry as an "individual" on November 17, 2019

The provider is located at 7400 Lynn Ave Hamlin, Wv 25523 and the phone number is (304) 824-5806

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 6 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on November 17, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.