MR. CHARLES PATRICK TILLEY NP
NPI 1023346186
Hospice, Inpatient in New York, NY

Active since December 01, 2009PECOS Enrolled
81.81/100
CMS Quality Rating
1250 BROADWAY, 7TH FLOOR, NEW YORK, NY 10001(917) 763-8716 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Charles Patrick Tilley Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES PATRICK TILLEY NP (NPI 1023346186) is an individual hospice, inpatient provider in New York, New York, licensed in New York (305286) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023346186
Entity TypeIndividualMale
Primary Taxonomy315D00000X
Provider Legal NameMR. CHARLES PATRICK TILLEYCredential: NP
Location Address1250 BROADWAY, 7TH FLOORNew York, NY 10001-3701
Mailing Address1250 Broadway, 7th FloorNew York, NY 10001-3701 · (917) 763-8716
Sole ProprietorYes
Enumeration DateDecember 1, 2009
Last NPPES UpdateFebruary 19, 2016
✔ NPI 1023346186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice, InpatientNursing & Custodial Care Facilities
Taxonomy Code315D00000X
License✔ Licensed in NY · 305286
Definition
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
1250 BROADWAY, New York, NY 10001

Other Identifiers 1

Medicaid03487405NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Patrick Tilley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charles Tilley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Long Term Care Hospital
1740 EASTCHESTER RD
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 92 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.83
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Care
1250 BROADWAY
NEW YORK, NY 10001
Social Worker (Clinical)
1250 BROADWAY, 22ND FLOOR
NEW YORK, NY 10001
Internal Medicine
1250 BROADWAY, 7TH FLOOR
NEW YORK, NY 10001
Occupational Therapist
1250 BROADWAY
NEW YORK, NY 10001
Pharmacist
1250 BROADWAY, 5TH FLOOR
NEW YORK, NY 10001
Nurse Practitioner (Gerontology)
1250 BROADWAY, 2ND FLOOR
NEW YORK, NY 10001
Occupational Therapist
1250 BROADWAY, 3RD FLOOR
NEW YORK, NY 10001
Occupational Therapist
1250 BROADWAY
NEW YORK, NY 10001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Tilley's NPI number?

The NPI number for Charles Tilley is 1023346186. It was assigned to this individual provider in the NPPES registry on December 1, 2009.

Where is Charles Tilley located?

Charles Tilley practices at 1250 Broadway 7th Floor, New York, NY 10001. The listed phone number is (917) 763-8716.

What is Charles Tilley's specialty?

The primary specialty registered for this NPI is Hospice, Inpatient with taxonomy code 315D00000X.

Is Charles Tilley enrolled in Medicare?

Yes. Charles Tilley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Tilley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Tilley reassigns Medicare benefits to Calvary Hospital Inc (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Tilley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Tilley was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.