DR. DON E TILLERY JR. DMD
NPI 1306950274
Dentist - Oral and Maxillofacial Surgery in Winter Park, FL
NPI Status: Active since August 18, 2006
Contact Information
800 W MORSE BLVD
STE 2
WINTER PARK, FL
ZIP 32789
Phone: (407) 628-5400
Fax: (407) 628-5389
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About DON TILLERY
This page provides the complete NPI Profile along with additional information for Don Tillery, a provider established in Winter Park, Florida with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1306950274 assigned on August 2006. The practitioner's primary taxonomy code is 1223S0112X with license number DN10178 (FL). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1306950274
- Provider Name
- DR. DON E TILLERY JR. DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 800 W MORSE BLVD STE 2 WINTER PARK, FL 32789
- Location Phone
- (407) 628-5400
- Location Fax
- (407) 628-5389
- Mailing Address
- 800 W MORSE BLVD STE 2 WINTER PARK, FL 32789
- Mailing Phone
- (407) 628-5400
- Mailing Fax
- (407) 628-5389
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-18-2006
- Last Update Date
- 07-29-2008
- Code Navigator
A dentist like Don Tillery is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Don Tillery opted out of Medicare effective on 01-02-2013 until 01-02-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- DN10178
- License State
- FL
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Guardian Basics for Familes and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Don Tillery 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-02-2013
Opt-Out End Date: 01-02-2027
Eligible to Order and Refer? Yes
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 32789 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.04
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $17.51
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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. | |||||||||
| 1 | 3 | 0 | 6 | 9 | 5 | 0 | 2 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 18 | 5 | 0 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 8 + 5 + 0 + 2 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1306950274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912075003 | D. SCOTT ROTATORI, M.D., P.A. Organization | Specialist | 800 W MORSE BLVD SUITE 5 WINTER PARK, FL 32789 (407) 628-5476 |
| 1144375940 | MALCOLM EDWARD HAWLEY D.D.S. Individual | Dentist | 800 W MORSE BLVD SUITE #3-C WINTER PARK, FL 32789 (407) 647-8384 |
| 1902020118 | TILLERY GROUP PA Organization | Dentist (Oral and Maxillofacial Surgery) | 800 W MORSE BLVD SUITE 2 WINTER PARK, FL 32789 (407) 628-5400 |
| 1598796724 | DR. DONALD SCOTT ROTATORI M.D. Individual | Plastic Surgery | 800 W MORSE BLVD SUITE #5 WINTER PARK, FL 32789 (407) 628-5476 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306950274, enumerated in the NPI registry as an "individual" on August 18, 2006
The provider is located at 800 W Morse Blvd Ste 2 Winter Park, Fl 32789 and the phone number is (407) 628-5400
The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Guardian. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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.
Medicare beneficiaries should expect a typical cost of $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $70.04 and an average copayment of 17.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on January 02, 2013 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 02, 2027.
This NPI record was last updated on August 18, 2006. 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.